Forms

Forms Requiring a Signature:

All of the below forms are required to initiate care.  We will also need copies of your insurance card and driver's license.  Please contact Karen if you are having any technical difficulties:  425-998-9769, office@catalystcounseling.net. 

Consent for Care (Acknowledgement Form)

Collaboration of Care

Telehealth (Video Counseling) Consent

Private Pay Agreement (For People Not Using Insurance)

Forms to Read (That do not require a signature):

Client Rights and Responsibilities

Disclosure Agreement - Ariel Alon

Disclosure Agreement - Carlo Quedado

Disclosure Agreement - Gemma Stilley

Disclosure Agreement - Lis Bergdahl

Disclosure Agreement - Jaya Ramesh

Disclosure Agreement - Kathleen Anderson

Disclosure Agreement - Charles Cheek

Disclosure Agreement - Katherine Walter

Disclosure Agreement - Allison Doyle

    © 2017 by Catalyst Counseling PLLC

    17330 135th Ave. NE

    Suite 2B

    Woodinville, WA 98072

    Tel: 425-998-9769

    Fax: 844-837-1339

    welcome@catalystcounseling.net