Information for New Patients

Your First Appointment

Welcome to the Psychiatry & Counseling Clinic. If you are interested in making an appointment with us, please call our intake coordinator at 425.656.4055. Choose option #1 to be directed to her voicemail. Leave the appropriate contact information and you can expect a return call within approximately 1-2 business days.

Our intake coordinator will call you back and obtain the necessary information to see if our clinic is able to meet your needs. For your first appointment, please print out and bring the completed forms below with you to your appointment:

  1. Registration Form
  2. New Patient Intake Form
  3. Consent to Care and Treatment Form
  4. Summary of Joint Notice of Privacy Practices of UW Medicine and Certain Other Providers
  5. VMC Clinic Network Financial Policy  
  6. VMC Financial Agreement (in language of your choice):
    1. English
    2. Romanian
    3. Russian
    4. Spanish
    5. Vietnamese

Sorry, but we do not complete disability assessment forms of any type. For details on mental health service availability and insurance coverage, please call 800.469.3979.