Contact Me/Forms

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

Maybe you have an issue you’d like me to address on my blog?

You may be interested in pursuing licensure supervision, or becoming certified in EMDR?

Please feel free to contact me through this website with any questions or requests, and I will respond within two business days. My office hours are 9am – 5pm, Monday to Friday. 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.

For those that are interested in starting the therapy process with me, please print and fill out the forms below. If you cannot access the forms or fill them out for any reason, don’t worry we have them at the office. Please arrive 15 minutes early for your first appointment so we can begin on time. If you are late and you have not completed your paperwork I may reschedule your appointment. The forms to sign or complete 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.

I recommend you 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. If you do not have insurance or prefer not to use it, my rate is $200 for the initial evaluation and $130 for a regular session.

I am changing office locations beginning in July! My new office address will be 9825 Sandifur Pkway, Suite D, Pasco. I have mapped it below. 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.

Insurances accepted: 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. Call your insurance to verify this.

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