Patient Forms


 

Release of Information  (Easy Electronic Signature Link)  (PDF Printable Copy)

Notice of Privacy Practices  (Easy Electronic Signature Link)  (PDF Printable Copy)

Financial Policies and Procedures  (Easy Electronic Signature Link)  (PDF Printable Copy)

Telemedicine Consultation Consent  (Easy Electronic Signature Link)  (PDF Printable Copy)

Email and Texting Information and Consent  (Easy Electronic Signature Link)  (PDF Printable Copy)

GAD-7 Link (GAD-7)

PHQ-9 Link (PHQ-9)

Location
Revolution Psychiatric and Addiction Treatment
2737 78th Ave SE, #100
Mercer Island, WA 98040
Phone: 206-208-8564
Fax: 425-364-4966
Office Hours

Get in touch

206-208-8564