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. My office is centrally located, close to the Columbia Center Mall in the Tri-Cities area of Washington State. I am accepting new clients at this time. It’s easy to get started with me, simply contact me via the form below or call my office directly at 509-579-0200 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 sign or fill out each of the forms below. I’m making these available online so you don’t need to spend 15+ minutes in my waiting room filling them out. 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. Depression Screening
  5. Anxiety Screening
  6. Alcohol Screening
  7. Fill out this screening 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.

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 my office please feel free to contact my office at 509-579-0200. 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 also accept Aetna, Cigna, Medicaid/Apple Health, TriCare and United Healthcare as an out of network provider, if your plan reimburses you for out of network services.

me - 2017



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