Please download, complete and sign the first three forms and bring them with you to the first appointment. These are necessary for me to provide services. If you have any questions, please feel free to call 425-417-4700 or bring your questions to our first session.
Disclosure of policies agreement
HIPAA notice of privacy & receipt
*Optional form should I need to talk with your doctor or other provider
Client release of information agreement
Court & Legals Fees - Posted for review
Your insurance company may provide coverage for our services. I am an in-network provider for Premera, Lifewise, and First Choice. Please check directly with them if you have questions about coverage.
Rates: $130 per 50 min session. Longer sessions
will be prorated.
I accept cash, checks, VISA/MC/Discover/American Express and PayPal.
Please call 425-417-4700 to schedule an appointment or use the online scheduler.