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Reclaim your agency over your life, and the freedom to do what matters, even if discomfort is along for the ride.

Name + Pronouns

Phone number at which I may leave a message

What state do you live in?

In a few sentences, tell me about the reasons you're seeking therapy.

The path to finding a therapist is often challenging. How did you find me? (e.g., personal referral, The Seattle Clinic, Google, etc.)

The confidentiality of electronic communication cannot be guaranteed, nor does it constitute a therapeutic relationship. I release Dr. Bielenberg from all liability from electronic communication.

I understand that Dr. Bielenberg does not take insurance, and have reviewed the current fees for service.

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