Therapy By Anne




(253) 656-6965

therapybyanne@gmail.com

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Helpful Forms

If you’re a new client, please complete the following forms and bring them to your first therapy session.

  • Client Information
  • Disclosure Statement
  • Notice of Privacy Practices
  • Consent to Treatment
  • Consent to Use and Disclose Your Health Information

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

  • Release of Information

Contact Info

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Anne Moss Riley

615 West Titus St
Kent, Washington 98032

(253) 656-6965
therapybyanne@gmail.com



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