Shelley Burns, MA, LMHC

Licensed Mental Health Counselor
conveniently located in Duvall - 425/844-2103

New Clients

Please print out and complete the forms below.  Bring them to your first appointment.

  1. Authorization for Treatment

  2. Disclosure

  3. Notice of Privacy Practices

  4. Receipt of Notice

If you will using health insurance please bring your identification card so that I can make a copy of it.

I look forward to meeting with you.

Shelley