


Request to Start Therapy
Let's get the ball rolling!
You will be redirected to SIMPLE PRACTICE, a HIPAA-compliant practice management software where you will be asked to fill out your personal information. This is how you will be initially set up as a prospective client. Through this platform, you can schedule a free 15-min consultation call at a time that is convenient for you.
Please provide as much information as possible:
-
Your Health Insurance Information
-
Name of your preferred therapist
-
For minors, please provide the contact information of a parent or legal guardian

Finances
American Express, Discover, Mastercard, Visa, Health Savings Account, cash, or check
Insurances
Blue Cross
Blue Sheild
BlueCross & BlueSheild
LifeWise
Premera Blue Cross
Out of Network I am considered an out-of-network provider with most insurance companies. This means I do not bill your insurance directly. Payment for sessions is due at the time of service. At the end of each month, I can provide you with a document called a superbill. A superbill is a detailed receipt that includes the necessary information (such as diagnosis codes, dates of service, and session fees) that your insurance company may require in order to process a claim. You can submit this superbill to your insurance company to see if they will reimburse you directly for a portion of the cost of sessions. Please note that reimbursement is not guaranteed and depends on your individual plan. I recommend contacting your insurance provider in advance to ask about your out-of-network mental health benefits.
