Schedule an Appointment

If you would like to schedule an appointment, you may complete the form to the right to request an appointment type and available time(s). I will respond to you via phone, text, or email with scheduling options depending on your indicated communication preferences.

You may also contact me directly to schedule at (206) 898-9366 or emersoncandc@gmail.com.

Appointment Request Form

  • If you would like to request an appointment on a specific day, please indicate your preference(s) below. You may select multiple days.
  • If you would like to request an appointment at a specific time, please indicate your preference(s) below. You may select multiple times.
  • Please check with your insurance carrier to determine coverage and whether I am considered an in-network provider for your plan prior to your first visit. If you intend to use your insurance, please bring your insurance card to your first appointment.
  • If this is your first visit with me, please provide a brief description of your circumstances and what you are hoping to achieve through counseling. You may also provide any additional information you feel is relevant. If you are a returning client, you may elect to enter a specific message here, but it is not required.

    **IMPORTANT NOTE** Information submitted through this form is not considered confidential or privileged. Please do not provide any information here you wish to keep protected and private. Emailing or calling this office does not create a client relationship between you and Emerson Counseling & Consultation.