intake process and forms

photo-96Affordable, Quality Counseling              

STA patients begin counseling following an intake process. The first step is to fill out the STA 2017 Individual Confidential Intake Form, which gives us a glimpse of your health history, reasons for seeking counseling at this time, and helps us to pair you with a therapist who will best meet your needs.

If you are a part of a couple and wish to begin couples counseling, please fill out the STA 2017 Couples Confidential Intake Form.

Intake Assessments                                                         Often times, we find that we need more information than what we can gather from a piece of paper, especially so that we can ensure that STA is a helpful fit for the care that you’re seeking. In-person Intake Assessments are a thorough and effective way for us to get at the heart of what you need. You’ll meet with one of our trained Intake Specialists for an hour and a half to complete the intake assessment process.

Intake Assessment – $90 for 90 minute session

Take the Next Step                                                                                                                                                        If you’d like to take the next step in the intake process, please fill out the following STA 2017 Individual Confidential Intake Form. You can email or mail the Intake Form to Seattle Therapy Alliance at:


Seattle Therapy Alliance                                                                                                                                      ATTN: Grace Rock                                                                                                                                                  200 1st Ave. W Seattle, WA 98119

STA 2017 Individual Confidential Intake Form                                                                                                    STA Confidential Patient Intake Form – SPANISH

STA 2017 Couples Confidential Intake Form

If you have scheduled an appointment with a therapist, please print the STA Disclosure Statement and bring it to your first appointment. The Disclosure statement is essentially a contract which explains your legal rights and gives you the opportunity, by signing, to agree upon the terms of counseling.

STA 2017 Disclosure Statement                                                                                                           STA Declaración Confidencial de Divulgación