Initial Appointment
Call me or email if you are thinking about setting up an appointment but want more information about my practice. I would be happy to offer you a complimentary brief telephone consultation.
Prior to your first appointment, you will be required to complete paperwork that reviews my office policy, HIPAA policy, and a document that asks for information
about your personal history and background. If you would like to use your insurance benefits, complete that form as well. Please bring these with you to your first appointment.
Use your first appointment with me as an opportunity to ask questions about my practice and approach to therapy. Counselors are not all alike and each modality is
not a “one size fits all” approach. Just as some people work well with and can relate to some teachers and others not so much, it is the same way with counselors and other
service providers. We will decide together if my services can be a help to you and if it feels like a good fit.
Initial Paperwork
Please complete the following forms prior to your first session and mail them to my office. If you plan on using health insurance, verification of benefits prior to your first visit is required. Initial paperwork forms are available below in PDF format.
Please complete this confidential intake form. If the client is a child, please request an additional child and adolescent intake form to be completed.
Intake Form.pdf
Adobe Acrobat document [223.0 KB]
Please sign and review this form and bring it to the initial session. We will go over it and answer any questions that you may have.
Informed Consent 6.18.pdf
Adobe Acrobat document [158.2 KB]
Verification of benefits prior to service is important because you are financially responsible for services. Prior to your first appointment, I will need to confirm your insurance benefits. If you plan to use your insurance, please forward a copy of your insurance card, front and back, enlarged so that the text is able to be read. You will also need to complete this form prior to your initial session.
Behavioral Health Insurance Information [...]
Adobe Acrobat document [381.2 KB]
Requesting your Records
Please review my policy for reviewing and obtaining your mental health records. According to WAC 246-809-035 records will be retained for 5 years after the termination of treatment.
Policy for Requesting to Review or Copy [...]
Adobe Acrobat document [75.5 KB]
Confidentiality
Health Insurance Portability and Accountability Act of 1996 (HIPAA)
Please learn about your privacy rights regarding your personal health information as protected by federal law. The link to the Health and Human Services government website can be found here:
https://www.hhs.gov/sites/default/files/ocr/privacy/hipaa/understanding/summary/privacysummary.pdf
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