Diedra L. Clay, Psy.D.
Therapy for Individuals, Couples, & Families
Dr. Diedra, L. Clay
(206) 853-8257
2800 E. Madison St.
Suite 302
Seattle, WA 98112
info@diedraclay.com
Helpful Forms

If you're a new client, please view my welcome letter, my curriculum vitae, and then complete the following forms and bring them to your first session.

  1. Disclosure Agreement Form
  2. Health Insurance Claim Form (items 1-13)
  3. Adult Information Form OR
  4. Child Information Form
  5. Release of Information Form (Used only if you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), then complete this form)

 

Welcome letter  
CV  
Health Insurance Claim Form  
Adult Info Form  
Child Info Form  
Release of Info Form  
Disclosure and Treatment form  

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