If you would like to schedule an appointment, ask a question, or make a comment, please fill out the form below.  Fill out as much as you are comfortable with, but those items with a red star are required for us to be able to contact you.


*Please Note: If psychological or neuropsychological evaluation services are requested and your insurance will be covering these services, please scan and email ([email protected]) or fax all relevant healthcare records to 253-200-0143 (you may need to contact your primary care provider to have them send the medical records).  Medical records as well as the information in the form below are needed in order to obtain prior authorization from the insurance for evaluations.  You may also call the front office at 253-200-0234.  Thank you! 

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Please provide the policy holder's street address if different from above and any other additional insurance information:
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For those seeking psychotherapy services with Wilson Clinical Services (WCS), please note that WCS is a preferred provider for several health insurance plans, including Regence, Blue Cross Blue Shield, Premera, and KPS. Please contact your insurance company to verify that WCS is an “in-network provider” for YOUR insurance plan.


If WCS is in-network for your insurance plan, then WCS will be able to bill your insurance for your services directly. You are responsible for any co-pays, co-insurance, and deductible amounts at the time of each session.


If WCS is NOT in-network with your insurance plan, you may still receive “out-of-network” benefits for WCS services. You will need to pay in full for your services at the time of service and WCS will provide you with the necessary information for you to file your own claims with your insurance. Please contact your insurance plan before scheduling your first appointment with WCS. Some insurance plans require “pre-authorization.” You will also want to know your co-pay amount and any unmet deductibles you may have.