Community, Connection, Counseling

TouchStone Counseling

TouchStone Counseling TouchStone Counseling TouchStone Counseling
  • Home
  • About Us
    • Our Mission & Practice
  • Counseling
    • Counseling Services
    • Telehealth Sessions
  • Crisis & Wellness
    • Youth Crisis Unit
    • Police Wellness Program
  • Forms/Insurance
    • New Patient Contact Form
    • Insurance/Sliding Scale
    • Other Patient Forms
  • Careers
    • Jobs / Clinical Training
    • Offices Available
  • Contact Us
  • More
    • Home
    • About Us
      • Our Mission & Practice
    • Counseling
      • Counseling Services
      • Telehealth Sessions
    • Crisis & Wellness
      • Youth Crisis Unit
      • Police Wellness Program
    • Forms/Insurance
      • New Patient Contact Form
      • Insurance/Sliding Scale
      • Other Patient Forms
    • Careers
      • Jobs / Clinical Training
      • Offices Available
    • Contact Us

TouchStone Counseling

TouchStone Counseling TouchStone Counseling TouchStone Counseling
  • Home
  • About Us
    • Our Mission & Practice
  • Counseling
    • Counseling Services
    • Telehealth Sessions
  • Crisis & Wellness
    • Youth Crisis Unit
    • Police Wellness Program
  • Forms/Insurance
    • New Patient Contact Form
    • Insurance/Sliding Scale
    • Other Patient Forms
  • Careers
    • Jobs / Clinical Training
    • Offices Available
  • Contact Us

Patient Forms

Release of Health Information Form (pdf)Download
Patient Bill of Rights (docx)Download
Patient HIPAA Notice of Privacy (pdf)Download
Clinic Notice of Privacy Practices (pdf)Download
General Patient Update Form (pdf)Download
Couple & Family New Patient Packet (pdf)Download
Group Counseling Contract (docx)Download
Adult (Age 18 and Older) Mental Health Packet (pdf)Download
Teen (Age 13-17) Mental Health Packet (pdf)Download
Child (Age 12 & Under) Mental Health Packet (pdf)Download

Each client will be sent a link via their email to access the appropriate forms that need to be electronically filled out and signed via DocuSign, a HIPAA compliant platform.

Sliding Scale Documents

Sliding Fee Discount Application (docx)

Download

Sliding Fee Discount Program (docx)

Download

Sliding Fee Discount Schedule (pdf)

Download

288 Martin St, Blaine, WA 98230

Phone (360)-788-4228


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All Rights Reserved

In Case of Emergency

If this is a life threatening emergency and you or someone you care about is in immediate danger, please CALL 911.  

If you need someone to talk to now, please TEXT 988 for the Suicide & Crisis Lifeline.