I adhere to Washington State law regarding confidentiality, as stated in RCW 5.60.060 (9). You have the right to confidentiality and privileged communications. Everything you say in session with me is protected by law, with the following exceptions:

• If I have written authorization from you or, in the case of death or disability, your representative
  
• If you waive your privilege by bringing charges against me
• In response to a subpoena from the court
• As required under state law involving abuse of minors, abuse of vulnerable adults or if you are detained to a psychiatric inpatient facility
  
• If I reasonably believe that disclosure will avoid or minimize an imminent danger to the health or safety of you or any other individual

My goal is to give us both a clear, caring framework so therapy feels safe, predictable, and worth your time. These are my office policies:

1. Trial Period – First Four Sessions

• We’ll use our first month together to be sure the fit feels right and that your current life supports trauma- or grief-focused work. If either of us feels another provider would serve you better, I’ll offer referrals—no hard feelings.

2. Showing Up Matters. I genuinely look forward to each session. To keep us on track:

• Reminders: Reminder texts are available, but you remain responsible for your appointments.
• Running Late: If you arrive more than 15 minutes late, we may need to reschedule, and the full session fee will apply. Sessions shorter than the minimum time for the scheduled CPT code cannot be billed to insurance.
• Session Length: Sessions typically last 50–55 minutes.

3. Office Etiquette

• Phones: Please silence your device; our time is precious.
• Food & Drinks: Water is welcome because spills are easy to clean. Other beverages and snacks wait outside (except for medical needs like diabetes).
• Children: To protect your privacy—and because I can’t supervise little ones—please arrange childcare.

4. Fees & Payment

• Rates:  $250 for the 90-minute intake; $160 for each 50–55 minute session.
• Payment:  Fees are due at the time of service by check or card.
• Card on File:  A card is required for all clients. If no payment is due at a session, a $1 authorization will be run to verify the card.
• Security:  All card information is stored securely on a protected system and may be used for outstanding balances or late-cancellation/no-show fees.
• Insurance:  Please confirm coverage, deductibles, and any pre-authorizations in advance. I bill secondary plans only when in-network. An itemized receipt (superbill) can be provided if you wish to seek reimbursement

5. Late-Cancellation / No-Show Policy. Consistent attendance fuels progress and keeps your reserved slot available only for you.

• • 24-Hour Notice: Cancel or reschedule at least one full day ahead (e.g., by 11 am Monday for an 11 am Tuesday session).
  • Fee: Less than 24-hour notice or a missed session incurs the full $160 charge, which insurance will not cover. The card on file is charged within two business days.
  • Exceptions: I waive the fee only when (1) roads are unsafe to drive or (2) you experience a medical emergency that requires ER care.
  • Missing a session never changes how much I value you or the work we’re doing together; the fee is purely administrative. If attendance ever becomes difficult, we’ll simply talk it through and decide what supports you best.