Client Forms

Do not submit any client forms on this page until you have called our Access Department at 425-349-8200 / 844-822-7609 or completed our Online Referral Form to start your referral process.

Instructions on how to sign & submit forms electronically

Pre-Assessment Forms

After speaking with the Access Team, if you will be participating in a Telehealth appointment, fill out the Pre-Assessment Forms.

  • Consent for Treatment
    • The following individuals may sign a Consent for Treatment:
      • Adults age 18 and older, unless declared incapacitated by a court of law (i.e. have a legally appointed guardian).
      • Minors age 13-17
      • Parents of a minor child (age 17 or younger)
      • Legal guardians
      • Kinship Caregivers – family members of a child under the age of 13 who are providing care for the child in the absence of a parent or legal guardian. Parent/guardian is not available.

If the client is unable to sign for themselves (i.e. under 13, or an adult with a legal guardian) someone who can sign consent must attend the assessment with the client, or must sign the Consent for Treatment in advance.

If this is a standalone request for information unrelated to submitting pre-assesment forms, please go to our Medical Records page.

  • Client Forms Submission

Client Forms Submission

Please submit your completed forms here (Consent for Treatment, Consent for Telehealth, Financial Agreement, ROI). Please submit all the signed and dated forms together.

  • Date Format: MM slash DD slash YYYY
  • Drop files here or
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