Contact Us Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastPhone Number *Email *Pronouns (Optional)Partum is a LGBTQIA+ Affirming PracticePreferred Contact MethodE-mailPhoneHow did you learn about Partum?Insurance *If Self Pay please write “Self Pay” above. I am in network with Premera and BCBS of IL. All couple’s/family therapy is out of network at this time. Date of Birth for Name on Insurance Card and Memeber ID #Please share what has prompted you to engage in therapy *It is important to be as detailed as possible here.Are you in the State of Washington or Illinois? *YesNoThird ChoiceYou must reside in the state of Washington or Illinois in order to receive services. Submit Phone: 206-635-9006 Email: deema@partumwellness.com
