Rachel Gabrielle - Therapy Inquiry Form
Hello! Thanks for your inquiry!

Please fill out the information below and I will be in touch!
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Name (first and last) *
Phone Number *
Email address *
I only see adults in my practice. Please select your age range. *
Please briefly describe what is bringing you to therapy *
My practice is located in Seattle, Washington and I am conducting virtual sessions only. Please confirm that you are a resident of Washington State. *
Is it OK to email the email address above? *
Preferred contact method *
Please indicate any scheduling preferences or limitations (I do not work weekends or early mornings).
I am only in network with one insurance company (First Choice), however I am able to provide you with instructions about how to seek out of network reimbursement on your own. My fee is $250/session. Please confirm you have read and understand this. *
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