Kenneth Burr, MA, LMFT
Counseling for Couples and Individuals in Seattle
Ken Burr, lmft
(206) 219-2553
1900 N. Northlake Way, #127
Seattle 98103
kenburr@comcast.net
Intake Forms

I realize that intake forms may seem as dry as mud, but they will help me get to know you quicker. If you're a first-time client, please review and complete the following forms, bring them to your first session.

  • Client Intake Form
  • Limits of Confidentiality/Cancellation Policy Form

 

If you would like me to coordinate care with another provider (for example, your psychiatrist, endocrinologist, etc.), complete this form:

  • Consent to Release Information Form

 


Client Intake Form
Confidentiality and Cancellation Policy
Consent to Release

Note: To download Adobe Acrobat Reader for free, click here.