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Connect with us using the form below to get scheduled as early as this week!

Name *

Email *

Phone Number *

What sort of session are you looking for? *

Individual Counseling
Couples Counseling (or 2 people)

Couples counseling is self-pay only.

Age of client(s) *

How will you be paying? *

Premera
Lifewise
BCBS (out of state)
Another Network
Out of Pocket

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? *

What days of the week and time frames are you available? Please be advised that 3pm+ times are difficult to come by. The more flexible you can be, the better! We have openings Monday-Friday (NO weekends). *

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. *

How did you hear about us? *

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

Custom Captcha *

Spell the name of the state where Greenlake Wellness is.

In order to prevent an influx of spam, we need you to answer this question. Please spell the state out and do not abbreviate.

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(206) 659-7161

contact@greenlakewellness.com

7900 E Greenlake Dr. N
Suite 202
Seattle, WA 98103

PT

© 2024 Greenlake Wellness Group

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