Forms

The Intake forms for the Psychological Services & Training Center and the Parent Child Clinic are now available online. You may return the forms in one of three ways:

  1. Download, complete electronically and email them to us (psychsvc@uw.edu). Click here for e-signature instructions.
  2. Download, print, complete, scan, and email back to us (psychsvc@uw.edu).
  3. Download, print, complete and mail back to us (address is below).

It is important to remember that email cannot be considered completely secure and thus should be used only with an understanding that there is some risk to your confidentiality. As the client it is your right to decide whether you think that the benefits of communicating over email outweigh the risks. See http://uwmedicine.washington.edu/Global/Compliance/Pages/Risks-of-Using-Email.aspx

Mail forms to:

UW Psych Clinic
Attn: Intake
Mailstop 351635
Seattle, WA 98195