• 1200 5th Avenue, Suite 800 Seattle, WA 98101
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Evidence Based Treatment Centers of Seattle

Screening Form

Your information is kept strictly confidential and used only to connect you with our care team.

Thank you!
Your screen has been submitted.

What happens next

  1. We review what you shared

    Within one business day, we review your responses and match you to the clinicians and programs best suited to you.

  2. We call you

    Within two to three business days, we'll call to answer questions about program structure and fees, and figure out the best next step for you.

  3. We find your next step

    Depending on availability, that may mean booking your first appointment, scheduling a consult, or adding you to our waitlist so we can reach out as soon as space opens.

Protected under HIPAA. Everything you submitted is transmitted and stored securely, and is shared only with the EBTCS clinical team involved in your care.

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