Schedule an Appointment

We are currently not accepting new patients. Please fill out the form below to be added to our waitlist. You will be contacted as soon as an opening becomes available.

We accept BlueCross BlueShield, Regence, Pacific Source, Aetna, private pay, and offer a sliding scale based on income. Please check with your insurance provider about mental health coverage prior to intake appointment.

Parent/Guardian's Name

First Name

Last Name

Child's Name

First Name

Last Name

Phone Number

Email

Briefly describe your concerns for your child.

Insurance

Please confirm mental health coverage prior to scheduling an appointment, or you will be charged out of pocket.

Regence

BlueCross BlueShield

Pacific Source

Aetna

Private Pay

I acknowledge that services are not currently available and I am being added to a waitlist.

Schedule an Appointment

Location

Hours

Contact