Fees, Forms, Insurance and Appointments


My fee is $115 per 50-55 minute session. 75-80 minute sessions are $172. I have several sliding scale spots in my schedule and these are available on a limited basis. Payment is by debit or credit card, cash or check. I use a credit and debit card processing company called Therapy Partner. If you'd like to pay with a debit or credit card, please fill out the Therapy Partner form I've included in the forms section and bring it with you to your first appointment.


I'm an in-network provider for First Choice and for Regence, which includes any Blue Cross insurance. Uniform Medical uses Regence for mental health services, so I am covered in-network with them as well. Many insurance plans have out-of-network benefits, which means my services might be covered in part. I have seen clients as an out-of-network provider for Premera, Cigna, Aetna and Group Health Options insurance plans. I do bill insurance as both an in-network and out-of-network provider. If you have a high deductible, I will still bill your insurance if you like so that my services will count toward the deductible.

If you are using insurance to help pay for therapy, it's important to contact your insurance company to clarify your benefits before coming to your first appointment. You, and not your insurance company, are ultimately responsible for paying for therapy services, so its important to be clear on what your benefit covers. If you are confused about your benefits after you call or look up your benefits online, I will be happy to help you unravel what is and isn't covered. Here are the important questions to ask when you call for information:

  • Do I have coverage for Outpatient Therapy?
  • Is the provider I selected in-network or out-of-network?
  • What is my co-pay? Is it different for an in-network versus out-of-network provider?
  • Do I have a deductible and how much of it has been met so far? Do I have a separate deductible for mental health than for medical? When does the deductible start over the beginning of the calendar year in January or when my plan renews?
  • Do I have a limit on how many sessions a year are covered?


Below are the forms you will need to read and fill out before your first appointment. You can either download the forms here or, at your request, I can have the forms waiting for you in the lobby, in which case you would come to your first appointment 15 minutes early to allow you enough time to review and fill them out. You will need to sign the Therapist-Client Service Agreement in person at our first session. You can either print out the signature page in advance and bring it to your first appointment along with the intake form or I can have a hard copy available for you at your first appointment.


You may request a free initial 30 minute appointment to see if we are a good match. Once you start therapy, your regular appointment time is reserved for you. If you need to cancel, please provide 24 hours notice or you will be charged a late cancellation fee. Therapy appointments occur on a weekly basis as, in my experience, that is the most efficient and effective use of your time in therapy, reducing the amount of time and the number of sessions you'll need to meet your goals. Coming weekly allows you to stay focused and build momentum toward change. When clients come less frequently, we often spend much of the session catching up on internal and external developments, leaving less time for problem solving, skill building, insight development and other techniques that are effective for resolving symptoms and creating growth. At times of particular stress or crisis, we may meet twice a week or even more frequently. As therapy is close to ending, we may meet every other week for a month or two to make sure the progress you've made stays solid with less contact and support.

Consumer Rights

The following is a link to information provided by the Washington State Department of Health regarding your consumer rights as a client in psychotherapy. http://www.doh.wa.gov/portals/1/Documents/Pubs/670125.pdf

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