Welcome New Clients!
If you have made an appointment with Dana,
please print the following forms and bring
(completed) to your first appointment.  
DISCLOSURE STATEMENT
INTAKE FORM
NOTICE OF PRIVACY PRACTICES
__________________________________________
2366 Eastlake Ave E, Suite 225    
Seattle, WA  98102

Telephone:  206.419.0155
Email:  dkovalchick@msn.com
WELCOME TO TALKTHERAPYSEATTLE.COM
Dana Kovalchick, MA, LMHC, CMHS