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Forms, Insurance and Payment

To save time on your first session fill out this entire form pack:
 All-in-one Form Pack (click to download and print)

*The credit card authorization form is a convenient way to handle payment.
Most clients prefer to leave a credit card on file that is charged after each session for the co-pay or full-fee amount.

Need a specific form? Download them below:


I accept Premera, First Choice, and private pay. I am a Licensed Mental Health Counselor in the State of Washington and most insurance companies do cover my services. Please call your insurance company to verify your benefits if you desire to file for reimbursement. I cannot guarantee reimbursement but I am happy to provide you with whatever paperwork needed to facilitate that process.


I accept cash, check and credit card. I do prefer check so as to avoid the charges associated with credit cards. However, if you prefer to keep a credit card on file I am happy to charge that following each session. Please remember that Health Savings accounts do cover therapy and I am happy to charge that credit card if that simplifies the process for you.