Marlon Familton, MA LMHC
1601 116th Ave NE, Ste. 102
Bellevue, WA  98004
425-417-4700
Better Mental HealthForms you'll need to gets started.



How to Get Started

 

Forms

Please download, complete and sign the first three forms and bring them with you to the first appointment.  These are necessary for me to provide services.  If you have any questions, please feel free to call 425-417-4700 or bring your questions to our first session.

Disclosure of policies agreement   

HIPAA notice of privacy & receipt

New client questionnaire

  *Optional form should I need to talk with your doctor or other provider

Client release of information agreement

Court & Legals Fees - Posted for review


 

Fees

Your insurance company may provide coverage for our services. I am an in-network provider for Premera, Lifewise, and First Choice. Please check directly with them if you have questions about coverage.

Rates: $130 per 50 min session. Longer sessions will be prorated.

I accept cash, checks, VISA/MC/Discover/American Express and PayPal.

I accept Visa/MC/AMEX/Discover

Please call 425-417-4700 to schedule an appointment or use the online scheduler.