New Client Inquiry Form - Greenlake Wellness Group

What is your zip code? *

Name *

Email *

Phone Number *

What sort of session are you looking for? *

Individual
Couples (or 2 people)
Consultation

Our Approach to Therapist Matching

Free consultations are not part of our clinical framework, as a brief conversation isn’t enough to truly assess clinical fit. Our therapists are highly trained professionals, and meaningful therapy requires more than a quick introduction—it unfolds over time as trust builds and patterns emerge.

To ensure the best experience, we encourage clients to begin with a full intake session. We recommend committing to 3–5 sessions before determining fit, as true therapeutic work goes beyond a personality match. If, after that time, you feel another approach would serve you better, we are happy to help you transition to a different therapist.

If you have any questions before scheduling, our team is here to help. Let us know when you're ready to book your first session!

Couples counseling is self-pay only, regardless of your insurance coverage.

At this time all of our couples counselors see clients online.

Age of client(s) *

How will you be paying? *

We are ONLY in network with Premera, Lifewise and certain out of state BCBS networks (not Regence). We are NOT in-network and cannot bill any other insurance plans. Any other insurance members are required to pay out of pocket for our services. Superbills for out of network plans are provided for any potential reimbursement benefits you might have.

Will you be needing Superbills for potential reimbursement from your out of network plan? *

Yes, I will be needing Superbills to submit.
No, I am NOT insured or I will NOT be seeking reimbursement from my insurance provider.

This question simply let's us know if we need to send you a Good Faith Estimate.

Your Preferred Pronouns *

she/her , he/him, they/them, etc...

What is your location preference? *

Do you have a preference for what gender therapist you see? *

All of our available therapists identify as male or female at this time.

Please note, that at this time all of our couples counselors see clients online and evening availaility is very hard to come by.

What days of the week and time frames are you available? The more flexible you can be, the better! We have openings Monday-Friday & some online Sunday times. *

Availability not guaranteed.

What are you needing support with? Please be as specific as you can so that we can connect you with an appropriate therapist. *

Each therapist offers their own unique set of skills based on their experience, so we need to know some specifics of what you are experiencing so we can match you with the best therapist.

How did you hear about us? *

Google? Referral from someone? Premera directory, Etc...

What is 9x5 *

0 of 2 max characters.

Hi there! To get matched with the best therapist for your needs, please submit the form below and we will get back to you within 24 hours. You can also email: scheduling@greenlakewellness.com

Couples counseling is self-pay only, regardless of your insurance coverage.

At this time all of our couples counselors see clients online.

Please note, that at this time all of our couples counselors see clients online and evening availaility is very hard to come by.

Couples counseling is self-pay only, regardless of your insurance coverage.

At this time all of our couples counselors see clients online.

Please note, that at this time all of our couples counselors see clients online and evening availaility is very hard to come by.