Please call me to schedule a free 20 minute consultation. During this consultation you will have an opportunity to ask any questions you may have, including questions about my style and payment concerns. Do not worry if you don’t have any questions! The consultation will still be helpful for you. I will ask questions that help me determine if your concerns and goals are within my area of specialization. If we both feel that I am a good fit for your needs, we will schedule an initial appointment.

Our sessions together will be very interactive. I ask questions that allow you to reflect and bring out your true self, your wise self. I am not silent in sessions, but I also do not dominate sessions by talking the whole time. I will suggest strategies and tools after I have learned more about what is most likely to work for you and be consistent with your values.

The first session will be a little different than the rest of your sessions. You will have an opportunity to more fully explain your concerns, needs, and goals. I will ask questions that allow me to learn about your relevant experiences and history, and learn more about you as a person. We will decide together how to proceed with your future sessions.

You will begin therapy with weekly sessions in most cases. This helps us get to know each other better and to begin working on your concerns. Most people continue with weekly sessions until they feel their therapy is complete, but we may agree to meet every other week as we proceed if that is a better fit for your needs. Some people access therapy for a long period of time and for others therapy is more short-term. It all depends upon your unique needs.

Yes! Online therapy can work as well as in person therapy most all of the time. People report satisfaction with their therapy, and that they are pleased with the progress they are making. They also report feeling connected to me as their therapist. As long as you have a private space available for your sessions, access to good internet, and a smartphone or tablet/laptop/computer, you can access therapy in the comfort of your own home or workplace. You do not even have to allow time to get to and from appointments! I use a HIPAA compliant secure video system so that your therapy is convenient and confidential. There are some exceptions to this. In order for online therapy to be effective a good internet or data connection is required, as well as a private space in order to have your sessions. If you have a serious mental illness or have concerns about safety, online therapy may not be a good fit for you. If you would like to learn more about online therapy and are feeling nervous before beginning your first session, know that we will work together to create a warm and safe environment to support you in working on your goals. Please call me to schedule a free consultation with me so I can address any concerns or questions you have about online therapy. If you would like, your consultation can be done online so you can experience what this is like.

Payment is due at the time of your appointment. This is true whether you are paying for your sessions completely out of pocket or if you have a co-pay through your insurance. I am able to accept credit cards through my secure HIPAA compliant system. If you do have insurance, you will need to contact your insurance company before your first appointment to determine your co-pay.

I am in-network with the following insurance companies: Pacific Source Pacific Source Community Solutions/OHP Moda First Choice Health Network I can bill as an out of network provider if your insurance company allows for this. I also accept self-pay clients

Since the scheduling of an appointment involves the reservation of time specifically for you, a minimum of 24 hours’ notice is required for rescheduling or canceling an appointment. If you do not show or if you cancel late, you will be charged a cancellation fee. You will receive more information about this and have an opportunity to ask questions if we proceed with therapy. Please note that clients with OHP are not charged fees.

No Surprises Act YOUR RIGHTS AND PROTECTIONS AGAINST SURPRISE MEDICAL BILLS (OMB Control Number: 0938-1401) When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing. What is “balance billing” (sometimes called “surprise billing”)? When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and/or a deductible. You may have other costs or have to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network. “Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit. “Surprise billing” is an unexpected balance bill. This can happen when you can’t control who is involved in your care – like when you have an emergency or when you schedule a visit at an in-network facility but are unexpectedly treated by an out-of-network provider. You are protected from balance billing for: Emergency services If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most the provider or facility may bill you is your plan’s in-network cost-sharing amount (such as copayments and coinsurance). You can’t be balance billed for these emergency services. This includes services you may get after you’re in stable condition, unless you give written consent and give up your protections not to be balanced billed for these post-stabilization services. Oregon law (ORS 743B.287) also states: A provider who is an out-of-network provider for a health benefit plan or health care service contract may not bill an enrollee in the health benefit plan or health care service contract for emergency services or other inpatient or outpatient services provided at an in-network health care facility. If an enrollee chooses to receive services from an out-of-network provider, the provider shall inform the enrollee that the enrollee will be financially responsible for coinsurance, copayments or other out-of-pocket expenses attributable to choosing an out-of-network provider. Certain services at an in-network hospital or ambulatory surgical center When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers may bill you is your plan’s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers can’t balance bill you and may not ask you to give up your protections not to be balance billed. If you get other services at these in-network facilities, out-of-network providers can’t balance bill you unless you give written consent and give up your protections. You’re never required to give up your protection from balance billing. You also aren’t required to get care out-of-network. You can choose a provider or facility in your plan’s network. When balance billing isn’t allowed, you also have the following protections: You are only responsible for paying your share of the cost (like the copayments, coinsurance, and deductibles that you would pay if the provider or facility was in-network). Your health plan will pay out-of-network providers and facilities directly. Your health plan generally must: Cover emergency services without requiring you to get approval for services in advance (prior authorization). Cover emergency services by out-of-network providers. Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in your explanation of benefits. Count any amount you pay for emergency services or out-of-network services toward your deductible and out-of-pocket limit. If you believe you’ve been wrongly billed, you may contact the Oregon Division of Financial Regulation at 888-877-4894 (toll-free) or visit https://dfr.oregon.gov/news/2018/Pages/20180301-balance-billing.aspx Visit https://www.cms.gov/files/document/model-disclosure-notice-patient-protections-against-surprise-billing-providers-facilities-health.pdf for more information about your rights under Federal law. Visit https://dfr.oregon.gov/news/2018/Pages/20180301-balance-billing.aspx for more inform