Call/Fax Us
(425) 658-3200
Email Us
Office@cadencechat.com
Billing@cadencechat.com
Visit Us
2340 130th Ave NE, Suite 201
Bellevue, WA 98005

(Building D in Northup North complex)
Intake Form
Prior to completing this form,
please acknowledge the following

Cadence is not an in-network provider and does not bill insurance. While many insurance companies will allow subscribers to submit their out-of-pocket payments for insurance reimbursement (and you are encouraged to check your insurance benefits in advance), reimbursement rates vary depending on the specifics of your insurance. Payments for services at Cadence are due at time of service. Individual therapy sessions range from $185-$300 per session, depending on the seniority of the clinician.

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Contact Information

Please note that all questions need to be answered to complete submission

Primary Contact
Relationship to prospective client
Client Information
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Clinician Preference
Are you interested in working with a particular provider? If so, please provide the provider name(s)?
Are you open to being seen by an alternate provider, based on earlier availability?
Do you prefer daytime or evening recurring appointment times?
Do you prefer to see your provider in person or via telehealth?
Do you have a preference with regard to the gender of your provider?
I have DBT therapy outside of Cadence and my therapist has recommended I enroll in a DBT Skills Group at Cadence to supplement my individual therapy.

Cadence is strongly committed to addressing the shortage of mental health care providers in Washington State. As such, Cadence trains a number of clinicians who are working towards independent licensure and practice, but who are still pre-licensure, “associate therapists.” Associate therapists:

  • Are supervised by our clinic directors and most senior staff and as such, video-record all therapy sessions. These recordings are deleted after they are review by the supervisor.
  • Are lower-fee for services ($185-$200/session compared to $230-$300/session).
  • May have availability sooner than senior staff.

Based on this information, are you interested in working with an associate therapist?

Intake Form
Please check areas of concern
That you would like treat at Cadence
Intake Form
How did you hear about Cadence?
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