Client Registration 


 

HAVE YOU RECEIVED OUR BOOKING EMAIL?
schedule here  

REQUIRED REGISTRATION WITH YOUR COUNSELOR 

Select your provider and self-register with your therapist in Therapy Appointment

Vera Dragonchuk, MA, LMHC
Rev. Kathleen Yackey, LMHC
Cindy Jones, LMHC 
Jerrold Jackson MA, LMHC
Peggy Wuest, LMHC
Mark Niezgoda, LICSW
Don’t see your provider click here

If you are unable to complete patient registration in Therapy Appointment please download the form and either bring it to your appointment or email it to us at  info@rentoncounselingcenter.com.

Please refer to your benefit packet or call your insurance for detailed benefits for your service. 

Feel free to use the booking site to schedule returning patient visits 

Requesting Mental Health Records

Authorization to Release Patient Information click here

Release to another counselor at RCC click here 

To protect patient privacy and comply with HIPAA regulations, we require the following for all records requests:

  • 1. The patient must contact us directly via email at info@rentoncounselingcenter.com.
  • 2. Our official Release of Records form must be completed. We do not accept auto-pen or electronically signed forms.
  • A clear copy of the patient’s driver’s license must be included to verify signatures.

Please email to info@rentoncounselingcenter.com, send fax 425-228-2007, or mail to 15 S Grady Way Ste 500, Renton WA 98057

Please note applicable record fees may apply  WAC 246-08-400, this will need to be paid before the records are released. 

Please see our FAQ blog post about our record release policy. 


Patient registration form
RCC privacy disclosure
Credit card authorization form

Generally building is open 9am-5pm, usually you can find your way in when someone is leaving, if you need help getting in please call your provider at 425-444-5902 or email them directly. 

Do you have questions? 
Call Vera at 425-708-8466 or email info@rentoncounselingcenter.com