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

In addition, each clinician has their own disclosure agreement.  It details their therapeutic philosophy, confidentiality and the limits to confidentiality, late cancellation policy, and other important information.  If you are a new client, please check your new client portal through Simple Practice or have our intake coordinator send you a copy of the disclosure (welcome@catalystcounseling.net).  Thank you!

    © 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