Clients
Payment for Services & Insurance
Meet & Greet
Unless you're a returning client, I require a brief meet & greet session so I can understand what you're looking for and whether I'm a good clinical fit. This can happen by phone, video (Google Meet), or in person — contact my office to set one up.
Health Insurance
I accept many common insurance plans, but coverage varies by employer and plan — please verify directly with your insurer whether I'm in-network for your specific plan. This is especially worth double-checking with Kaiser Permanente and some trade-sponsored health plans.
I do not accept or bill:
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Medicare or Medicare secondary payer plans
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Medicaid-type plans (e.g., Apple Health, Molina, Community Health Plan)
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Automobile insurance claims
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Employee Assistance Programs (EAP)
Paying Out of Pocket
My cash rate is listed in my Professional Disclosure (below). I accept credit cards and checks; cash payments must be made directly to me, not office staff.
Preparing for Your First Visit
After your meet & greet, download and complete the required forms below. You'll also need a photocopy of a government-issued photo ID and your insurance card (if using insurance).
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Telehealth clients: return forms by mail or via secure email (below). A separate Telehealth Agreement is also required before your first session.
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In-person clients: bring forms with you, or send them ahead via secure email. Please don't arrive early — we keep waiting-room time to a minimum.
Required Forms
Complete, sign/initial as noted, and return by secure email.
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New Client Intake — complete and sign
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Client Billing Information — only if using insurance
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Professional Disclosure — initial each page and sign
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Telehealth Services Agreement — only if doing therapy online or by phone
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Release of Confidential Information — only if you want me to share information with others
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Medicare Opt-Out Form — required if you're Medicare-eligible, since my practice doesn't participate in Medicare
For Your Information (no signature needed)
For privacy reasons, please don't send completed forms via non-secure email or text.
You'll need Adobe Acrobat Reader (free) to view and complete these PDFs.
Scope of Practice
As a master's-level clinician, I can't prescribe medication. I work with adults aged 21 and up. A few other things fall outside my practice, so you can plan accordingly:
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One-time ("one & done") sessions solely to complete paperwork or forms
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Letters for comfort/emotional support animals
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Court-ordered legal assessments
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Court-ordered anger management or domestic violence classes
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Work with sex offenders or those who have acted out with children
If you're not sure whether your situation is a fit, reach out — I'm happy to point you toward the right resource if I'm not it.