Helpful Forms

Individual Counseling
If you're a new client, it would be very helpful for you to complete the New Client Information form and bring to your first therapy session.
If you would like me to coordinate care with another provider please complete the consent form to authorize release of psychotherapy information

  • New Client Registration

  • Adult Health Information

  • Minor Health Information

  • Guidelines for Child Therapy Work for Two-Home Families

  • Consent for Exchange of Information


Child Specialist Coaching Services

Pre-session information: 

  • Child Specialist Coaching: Pre-Session Information

Collaborative/Cooperative or Coparent Coaching Contracts:  

  • Collaborative Child Specialist Contract  (for those in a formal Collaborative Divorce process)

  • Cooperative Child Specialist Contract  (if you are not in a formal Collaborative Divorce process or aren't sure) 

  • Coparent Coaching Contract (for parents seeking coaching post divorce)

Children's Consent to Release Information (If you adult or minor children are meeting with me for part of your Child Specialist process, I will ask them to sign these forms during their session): 

  • Adult Consent for Exchange of Information

  • Minor Consent for Exchange of Information

Kristin Little Counseling in Seattle  

Wednesday & Thursday 10-6 or by arrangement

To Schedule Counseling and Divorce/Coparent Coaching Contact Kristin Little or use the online calendar: 

kristinlittlecounseling@gmail.com

(206) 295-8673 

2101 4th Ave Suite 370 Seattle, Washington 98121

The Evergreen Clinic in Kirkland  

Monday & Tuesdays 10-5​  *Currently full 

To Schedule Counseling, contact the clinic directly:


New Client Line: (425) 825-9644  Main Office: (425) 821-1810

theevergreenclinic.com

12025 115th Ave NE Bld D Suite 200 Kirkland WA 98034

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