Policies

I am a licensed mental health counselor in the state of Washington providing psychotherapy to adults by telehealth. (I do not provide in-person services.)

To better involve you in your care, I use an electronic medical record that allows you to create a Patient Portal account, where you will be able to access office documents and provide me with important information about yourself. You will also be able to securely communicate with me through this portal. Please make sure that I always have updated contact information for you.

All information is strictly confidential with the following exceptions:

When you give me written permission to release the information to someone.
When legal and ethical responsibilities require me to disclose information for safety reasons, such as instances of a patient threatening harm to self or others.
When ordered or subpoenaed by court.
By law, I must report abuse of children or mentally disabled/vulnerable adults to Child or Adult Protective Services.
When it is necessary to obtain payment that is due.
If you are applying for reimbursement from your health insurance, I may be required to provide your health plan some or all of your records. By signing the informed consent form, you consent to release that information to your health insurance plan.
You will be provided with a Notice of Privacy Practices with further information if we choose to work together.

The fee for the first new patient visit is $180. The visit lasts 60 minutes.

The fees for return visits depend on the length of the session. The range is $100-150.
Payment is due at each visit. I accept debit card and credit cards.
I require each patient to have a valid credit card on file to charge for any outstanding balances. You will be provided with a credit card authorization form for further information.
The fee for chart notes/medical records is $0.25 per page.

I am an “out of network” provider for all insurance plans including Medicare and Medicaid. Because of this, full payment is due at the time of each visit, and I can provide you with a receipt. You can submit this receipt to your insurance company for reimbursement directly to you at “out of network” rates. Many plans offer “out of network” benefits, though some do not. If you are planning to seek reimbursement, I encourage you to contact your insurance carrier to find out about your “out of network” benefit so that you can anticipate your out-of pocket expenses prior to scheduling an appointment.

Your appointment is reserved exclusively for you, so please give at least 48 business hours notice for any appointment which you are unable to keep. A $75 fee is charged for missed appointments and cancellations with less than 48 business hours notice. Please note that insurance does not reimburse any portion of these missed appointment fees.

Missing appointments interferes with the efficacy and continuity of your care. A pattern of repeatedly missing appointments is grounds for termination of care.

Due to my lack of office staff, I expect that a message through the patient portal will be the usual mode of communication for non-urgent matters between appointments. I will make every effort to respond within 48 business hours. You may also call my office number (206) 696-4071 and leave a message. My response time for a phone call is typically longer than for a portal message.
For matters that can’t wait for my return call, you can always call or text the 24 hour Crisis Line at 988 or find a range of resources by going to their website at https://988lifeline.org/help-yourself/ and scrolling down.