Integrity Counseling Forms

To save you time, please fill out the intake packet prior to our initial meeting.

Please let me know if you have any problems downloading or printing the forms and I can either email or mail out the forms to you.

Please print and complete the following documents:

1. Intake Form (136kb)

2. Integrity Counseling Disclosure Statement (26 kb)

3. Credit Card Authorization (91kb)

4. Release of Information (69 kb)

Please read the following documents:

5. The Washington State Department of Health's brochure (209kb)

6. Integrity Counseling Notice of Privacy Practices (139kb)

Thank you. I look forward to meeting you and your family!

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