Insurance and Fees
Fees
My fee for a fifty minute individual therapy session is $180. I accept credit card payment at the time of your appointment and use Ivy Pay for credit card processing, a secure platform designed for therapists. Before our first meeting, I will send you a link to Spruce Health to set up a client portal so you can upload my documents which you can find below.
Forms
Policies and Practices: This document describes my practice and policies with regard to my professional qualifications, approach to treatment, fees, scheduling, cancellations, and consent for treatment. When you sign this form, you are stating that you consent to my services and policies as described in the disclosure statement.
Notice of Privacy Statement: I ensure my clients confidentiality. This form explains my policies related to this as well as the few exceptions to privacy. Washington State law requires that I provide clients with contact information for the Department of Health should you have any complaints against the services I provide. When you sign this form, you are stating that you have received this document.
New Client Information: Please complete this form so that I may have some basic information about you before we begin.
Telehealth Consent: This document gives me permission to conduct therapy with you via videoconferencing.
You can securely upload your completed forms into Spruce Health and will send you a link for that platform. A second option is through Therapy Notes by creating a client portal on the Therapy Notes website. Click on the link provided to create your personal portal only if Spruce Health is not an option. Client Portal.
Release of Information: When I need to consult with other professionals about our work together, I will ask you to download, print, read, and complete this form. This document gives me your written consent to share information about our work together with specific persons whom you designate.
No Surprises Act: This document describes the No Surprises Act and your rights.
Insurance
Out-of-Network
Most insurance companies have mental health benefits for out-of-network providers. I can help you understand the procedure for obtaining information about your out-of-network benefits. My fee is due at the time of service. Upon request, I can provide you with a statement at the end of each month which you can submit to your insurance company for reimbursement. Your insurance company may have a special form for such submissions which I am happy to help you complete.