*Update: As of 2022, I no longer maintain a physical office location*
First Appointment Steps:
Therapy sessions are conducted via Telehealth only. If you are interested in scheduling an initial appointment, please complete the Referral Information Form in the 'Forms' section on the right hand side of this page.
You will need to call your insurance company to obtain insurance authorization if necessary and relevant benefit information required on the form. Scan the form as a PDF and email it to me at firstname.lastname@example.org. Once I receive the form, I will contact you via email with possible dates and times for an intake session.
After that my practice assistant will email you with any additional paper work needed. I contract with a practice consultant, Lisette J Vail, to provide my support services. Questions regarding your account including insurance, billing, and payment issues should be directed to Mrs. Vail by email at: email@example.com or via fax: 844-965-9260.
If I am not an in-network provider on your insurance panel, please check to see if you have an out-of-network benefit. Based on the information provided (e.g. co-pay, co-insurance, and deductible amounts) you may decide to continue to pursue treatment with me. If not, you might also consider paying out-of-pocket for your therapy. Although I do not offer a sliding scale fee arrangement, I do have a few low fee slots available at any given time.
Insurance I accept:
Regence Blue Cross Blue Shield
Initial Appointment Paperwork:
Informed Consent and Practice Policy
If you would like a copy of my practice “Client Rights and Responsibilities Notice” or a “Hipaa Regulation Notice”, please download them here.
Client Rights and Responsibilities Notice