Client Forms

If you are new, please feel free to fill out these intake forms before our first session. These forms can also be filled out during the first session.

Client Intake Form

Information Sheet

Limits of Confidentiality

Mark L. Rose Intervention & Recovery logo | Addiction Therapy | Seattle, WA 98103

600 N 36th St. Suite #208
Seattle, WA 98103

mark@marklrose.com
206-419-5664

verified by psychology today | Mark L. Rose | Addiction Therapy | Intervention | Seattle, WA 98103

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