Life Matters Counseling

Psychotherapy for Individuals, Couples and Families

Kelley Nay, MS, LMFTA

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Download Forms

Prior to our first appointment, please print out the following forms. Please read them, fill them out, and bring them with you to your first appointment. If you have any questions about any of the information on these forms, I am happy to discuss them with you.

• Client Registration Form
• Office Policies, Client Information and Disclosure Statement
• Childhood History Form - (for child counseling clients only)
• Notice of Privacy Practices
• Acknowledgement of Receipt of Notice of Privacy Practices
• Authorization to Exchange Health Care Information

(425) 681-9272        1611 - 116th Ave. NE, Suite 100, Bellevue, WA 98004