NEW CLIENT INQUIRIES:

I am currently accepting new in-person referrals at my Gig Harbor office (updated January 2025). Complete the form below, to help me understand what is bringing you to therapy at this time and what goals you have for therapy.

**Please note, I am not able to reply to all prospective client inquiries. You will receive a response from me if a spot opens up or if I can offer you a referral.

First name

Phone

(###)

###

####

I am able to attend sessions in person at 7901 Skansie Ave, STE 240, Gig Harbor WA. I understand this provider is not accepting new telehealth referrals.

Email Address

What is bringing you to therapy at this time

Briefly share what is bringing you to therapy at this time and what you hope to achieve through counseling.

How did you hear about my practice?

Referring provider or contact:

If you wish to utilize an insurance or EAP benefit, please select your insurance and/or EAP below:

Lyra Health EAP

Premera/ Lifewise

Kaiser PPO/ FirstChoiceHealth

FirstChoiceHealth EAP

Cigna/ Evernorth

Checkbox

Please review the disclaimer below and press SUBMIT *

I acknowledge that electronic communication, including web forms and email, is limited in terms of privacy and may be intercepted by a third party. I understand that this electronic communication does not constitute a therapeutic relationship. I hereby release Ellen Cleary-Penninger, LICSW from any and all liability that may occur due to electronic communication over a non-secure network.

email: ellen@ellenclearypenninger.com

phone (call & text): 425-650-0101

fax: 425-650-0102

Office Location

My office is located in the heart of Gig Harbor at the corner of Rosedale St and Skansie Ave

7901 Skansie Ave, Suite 240, Gig Harbor, WA 98335

Free parking in office lot; office is accessible from Cushman Trail via Rosedale and Pierce Transit Route 100

Single-use restrooms (door code 2023), use Neel Ct entrance to avoid all steps/ stairs

Request an appointment or more info

If you are interested in working together, Complete the form below

NEW CLIENT INQUIRIES:

email: ellen@ellenclearypenninger.com

phone (call & text): 425-650-0101

fax: 425-650-0102

© 2024 Ellen Cleary-Penninger