Eileen Stein, MSSW, LICSW

PsychoTherapy, Counseling and Consultation -- Individuals - Couples - Groups

1818 Westlake Avenue North, Suite 124, Seattle, WA 98109, 206 937-3972

New Client Forms

Below are links to a packet of forms you must read, complete, and sign. Please bring these forms to your initial session. Taking care of this paper work in advance of your session will allow more time for us to speak about your concerns during the session.

• General Client Information Form
• Disclosure Statement
• Privacy Practices
• Minimum Documentation Request

Along with these forms please bring your payment and/or your insurance card/information.

I look forward to meeting you and sharing this piece of work.

Warm Regards,

Eileen Stein, MSSW, LICSW