Contact Shipshape
Important!
If you're currently experiencing a life-threatening emergency or believe you or someone else is in danger, please immediately contact 911.

The 24-hour Seattle area crisis line is 866-427-4747 (866-4CRISIS)

Do NOT hesitate to reach out for help.
Confidentiality
Please be aware that this form and e-mail is not a secure method of communicating confidential information.

Current Clients: To reach out about clinical concerns, please use the patient portal, Luminello ( https://app.luminello.com/auth/login/ )
Contact
What's Your Name?
Please provide your first and last name so we can better respond to your request
Your answer
Email
Your answer
Phone
Your answer
How can we help?
If you're a prospective client, please let us know which insurance you have, too!
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Shipshape Mental Health. Report Abuse