Forms

Please download, print, and complete these forms prior to our first visit together

Client Information Form

click here to download

Disclosure to Clients

click here to download

HIPAA Privacy Notice

click here to download

Privacy Practice Receipt

click here to download
 

Location and Contact

11522 NE 21st Street, Bellevue, WA 98004

 

Mobile: (206) 779-5592

Fax:  (425) 637-0699

Email: becky@beckymorehead.com

Hours: by appointment

Site Map

King County Crisis Line

(206) 461-3222

© 2019 by Becky J. Morehead, MA, LMHC, CSTP; all rights reserved