Forms

It’s easy to get started with me, simply call my office directly at 509-531-6698 to start the process. My office hours are 9am – 5pm, Monday to Friday. You are also welcome to contact me via the form at the bottom of this page with questions.

For those interested in starting the therapy process with me, please print and fill out the forms below. Please arrive 15 minutes early for your first appointment so we can begin on time. Be aware if you have not completed your paperwork I may reschedule your appointment. The forms to sign or complete are:

  • 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 the forms are not printed and filled out when you arrive for our appointment, your appointment may be rescheduled unless you have made prior arrangements.

If you are an American 60 years or older, you must email the completed forms to me, as we will only meet via the VSee app and do telehealth rather than meet in my office. As soon as the COVID-19 epidemic has passed we may meet in my office again.

It’s important 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 $140 for a regular session.

My office address is 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: Kaiser Permanente (PPO only), Premera/Regence Blue Cross, Lifewise of Washington, Lifewise of Oregon, UMP and Medicare (for those 65+ and not on disability). .

I only accept Aetna, Cigna, First Choice, Medicaid/Apple Health, Healthcare Mgt Administrators, 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.

me - 2017

 







verified by Psychology Today