Please bring the appropriate completed forms – depending on whether you’re meeting with me for counseling or coaching – with you to your first appointment. This will save time on paperwork, leaving us more time to address your concerns and start making progress right away.


  • New Patient Information Form
  • Confidential Client Information
  • Washington State Disclosure Form
  • Disclosure Statement


  • Intake Questionnaire
  • Coaching Agreement


Peggie Dickens, M.A., LMHC
Solution-oriented Counseling & Coaching
Seattle * Bainbridge Island

Copyright © 2009 - Peggie Dickens, M.A., LMHC - All Rights Reserved