Disclosure Statement

Notice of Privacy Practices

Consent to Treatment

These forms are a long read, but they have important information about my practice and your rights as a client.  I am happy to review them with you if you wish.

My standard fee is $120 for a 50-minute session.  If you wish to use insurance, I work out of an office in Mountlake Terrace through Mindful Therapy Group at which I accept many insurance providers (I am afraid I do not accept insurance at my Seattle office). I am available on Tuesdays 11 AM - 8 PM at my Seattle office and Mondays, Wednesdays, and Fridays at the Mindful Therapy Group office from 2 - 8 PM.

On the left you will find PDFs of my Disclosure Statement and Notice of Privacy Practices, and the Consent to Treatment.  Please read them and fill them out prior to our first session.  The Disclosure and Privacy Practices PDF is lengthy, but it contains important information about my practice and your rights as a client, and I will need to have your agreement and signature prior to starting treatment.