Clinical Psychologist
Board Certified Neuropsychologist
Ballinger Professional Offices
20056 19TH Ave NE
Shoreline, WA 98155
Phone: 206-365-1435
Fax: 206-365-1428
Email: DrBurkhart@waburkhartphd.com
Evaluation and treatment of Mood Disorders - depression, bipolar II depression, anxiety, obsessive catastrophic worry, panic attacks, stress reactions, social anxiety, relationship distress, self-defeating behavior, and other stress-life adjustment difficulties Evaluation and treatment of PTSD and other Stress and Trauma-Related Disorders - mood and social adjustment difficulties owing to traumatic work exposure or injury, other kinds of injuries or accidents, traumatic grief & loss, and other traumatizing life events |
Behavioral Health / Pain and Physical Rehabilitation evaluation and treatment - medical (somatic) symptom distress and psychological factors affecting physical condition; physical injury/illness and chronic pain adjustment issues, workers comp-industrial injuries, disability grief & loss, psychophysiological stress, and psychosomatic illness Brain Disorders and Learning Disabilities evaluation and treatment* - Mild Traumatic Brain Injury, dementia, pseudodementia, ADD/ADHD, Dyslexia and Other Specific Learning Disorders, stroke (CVA), Parkinson's, Multiple Sclerosis (MS), Hydrocephalus (NPH), and other central nervous system illnesses, injuries, and congenital conditions *cognitive-intellectual, executive skill, memory, language, neuropsychiatric, and psychosocial-emotional functioning and behavioral problems associated with Brain Disorders and Learning Disabilites |
Safety Consent Form for COVID19 Office Visit
![]()
Forms to be completed by all new patients
![]()
![]()
![]()
![]()
Neuropsychological Evaluation Consent form
![]()
General/ Other Medical Psych Eval Consent form
![]()
Healthcare Information Release Consent Form
![]()
|
CANCELLATION(S): Should you need to or decide to cancel your initial appointment with Dr. Burkhart or any follow-up appointments you have scheduled, the courtesy of a 72-hour notice is appreciated. There will be no charge for appointments canceled 48 hours or more in advance. Late cancellation and no-show fees cannot be billed to your insurance company. Please make every effort to keep your appointment(s). While there are other patients scheduled and on a waiting list to be moved up to fill cancelled appointments, 48 hours is usually required for them to make all the necessary arrangements.
PAYMENT TERMS: If you have signed the New Patient Registration Form (Intake Sheet) and authorized payment of health insurance benefits to Dr. Burkhart, it is agreed that you will ultimately be responsible for any portion of amounts charged, not paid by your insurance company. If Dr. Burkhart is a participating provider with your insurance, he has agreed to an allowed fee amount and after your insurance is billed and paid their portion of that amount, you will be billed for whatever co-insurance and/or co-payment is due from you. Your insurance deductible may be applied and so you may end up being responsible for the full amounts allowed by your insurance company. And should the insurance or eligibility status listed on your Intake Sheet and initially verified by Dr. Burkhart change by the time of your appointment and if by then you have not provided and had verified alternative insurance, you will then be responsible for any and all fee amounts charged. |
Getting to Ballinger Professional Offices
From points south / traveling North on I-5: Take Exit 177 and follow signs toward Lake Forest Park. Pass through the first intersection where you’ll see a Chevron station on your right and head down Ballinger Way. From points north / traveling South on I-5: Take Exit 177 and follow signs toward Lake Forest Park. At the end of the off ramp you’ll turn left and head under the I-5 overpass and then pass through the first intersection where you’ll see a Chevron station on your right and head down Ballinger Way. Headed down Ballinger Way right east of I-5, you’ll drive past Ballinger Village (and the Village Market Thriftway) on your left and then a second Chevron station also on your left at the corner of the next intersection, which is 19th Ave NE. Here, take a left and head up the hill to the middle of the block and you’ll see Dr. Burkhart’s office on the right, a one-story olive-colored building. Parking is usually available in the lot in front of the building. Upon arrival inside the office, please have a seat in the waiting room and you will be greeted there, when it is time for your appointment. |