New Client Inquiry Form - Greenlake Wellness Group

Hi there! To get matched with the best therapist for your needs, please fill out the form below. Once submitted, you’ll be directed to a confirmation page—if you don’t see that, your form hasn’t been submitted yet! We’ll be in touch within 24 hours.

If you prefer, feel free to email us directly at scheduling@greenlakewellness.com. Or give us a call: 206-659-7161.

Name *

Email *

Phone Number *

What sort of session are you looking for? *

Individual
Couples (or 2 people)

Our Approach to Therapist Matching

We don’t offer free consultations because a brief conversation isn’t enough to assess clinical fit. Meaningful therapy takes time to build trust and understand your needs.

We recommend starting with a full intake session and committing to 3–5 sessions to assess fit. If it’s not the right match after that, we’ll help you transition to a different therapist.

If you have questions before scheduling, our team is happy to assist. Let us know when you're ready to book!

Age of client(s) *

is network Preferred

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.

What days of the week and times are you available? *

Availability not guaranteed.The more flexible you can be, the better! We have availability Monday–Friday and some online sessions on Sundays. Please share your first choice of days and times, along with a second option. If your preferred times and location don’t line up with what's available, we’ll work with you to find an in-person or alternative online time that works for everyone.

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...

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

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.

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