Without Hope There is No Help
 
 
As of 01/23/2017 we are offering Teletherapy. This is therapy over a secure internet communication using your phone or computer. It is HIPPA compliant. This will allow you to access therapy when you cannot make it to the agency. Please call for more details and to arrange how to access this form of therapy for your individual sessions.
Phone: (253) 333-2328        
Fax:  (253) 333-5068
230 Auburn Way South Suite 1B
Auburn, WA. 98002
Call by 10a.m. for same or
next day appointment  Please call the main # and hit extension 1 for scheduling!
 

Mental Health Intake Form

Please answer the Mental Health Intake Form below. Alternatively you can download the form here.
If you haven't already done so, please also fill out the insurance form here.

These forms must be filled out prior to your initial consultation.

    • 01 - Basics
    • 02 - Suicide Risk Assessment
    • 03 - Past Medical History pt.1
    • 04 - Past Medical History pt.2
    • 05 - Past Psychiatric History pt.1
    • 06 - Past Psychiatric History pt.2
    • 07 - Past Psychiatric History pt.3
    • 08 - Exercise Level & Substance Use
    • 09 - Tobacco History
    • 10 - Family Background & Childhood History
    • 11 - Trauma, Educational, & Occupational History
    • 12 - Family & Personal History


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(253) 333-2328
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Auburn, WA