Contact Me/Forms

You might be trying to decide if I’m the counselor for you?

You may have an issue you’d like me to address on my blog.

Please feel free to contact me through this website with any questions or requests, and I will respond within two business days. It’s easy to get started with me, simply contact me via the form below or call my office directly at 509-531-6698 to get scheduled. You are also welcome to call or email and set up a brief, free phone consultation with me to see how I can best meet your needs. I’d love to hear from you!

For those that are interested in starting the therapy process with me, please print and fill out the forms below. If they are filled out, then all you need do is arrive on time for your appointment. If you cannot access them or fill them out for any reason, don’t worry we have them at the office. However, please arrive 20 minutes early to complete them, so we can begin on time. They are:

  1. My Disclosure Statement and informed consent
  2. My office policies
  3. Release of Information. If you want anyone else to have contact with me.
  4. Adverse Childhood Experience Questionnaire
  5. Depression Screening
  6. Anxiety Screening. Fill this or form 8 out.
  7. Alcohol Screening
  8. Fill out this trauma/abuse form instead of the anxiety form if you are concerned you suffer from the effects of trauma, abuse or PTSD

Print out the forms you’ve filled out and signed and bring them to your first appointment, along with your insurance card and a list of medications you are taking. If you’re having trouble printing out the forms don’t worry, I have copies at the office.

You may want to call your insurance company to see if you will be paying a copay, coinsurance, or out of pocket if you have a deductible that has not been met. Remember that payment is due the day of service.

My office address is 8121 W Quinault Ave, Suite F202 in Kennewick. I have mapped it below for you as well. If you have any questions about how to find me please feel free to contact my office at 509-531-6698. I accept all sorts of payments, including HSA or FSA spending accounts as well.

Insurances accepted: Asuris, First Choice Health, Group Health/Kaiser Permanente (depending on your plan), Lifewise of Washington, Lifewise of Oregon, Medicare (for those 65+ and not on disability) and Premera/Regence Blue Cross.

I only accept Aetna, Cigna, Medicaid/Apple Health, TriCare and United Healthcare as an out of network provider. This means you will pay my full fee, and may be reimbursed for a portion of it by your insurance company later.

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