New Patient Info

A multi-specialty team supporting the growth of healthy minds

Thank you for inquiring at MindSource Center.  In order to serve you, please fill out the form below and submit.

All of our therapists are independent and may be in-network with varying insurance companies.  Upon receipt of this form, I will try to connect you with the best fit depending on availabilities.  The therapist will reach out to you to schedule your first visit.  In the case that there are no available therapist I will reach out to you and update you.

~ Kelli Malysheff, Office Manager

 

New Patient Info

  • We request adult clients schedule their own appointments once a therapist contacts them.






  • Office Use Below Line

  • OR
  • Therapists: Please print this form for the client file.

Serving the Seattle area for more than a decade.
The MindSource Center, LLC, is now a State of Washington licensed Counseling & Autism Treatment (ABA) Agency

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