FEE SCHEDULE/Based on a 50 Min Session

~Meet and Greet (30 Min) Free
~Individual Counseling 55.00
~Couples/Marriage Counseling 105.00
~Crisis Stabilization after hours 55.00 ~Home Visitation or Hospital
~Case Management 130.00 ~with Individual Therapy per session/includes contact with third party
~Individual Consultations 45.00
~Court or Subpoena requests 60.00/Hr plus millage. (.50/per mile)
~E Counseling 55.00 Individual / 105.00 Couples
~Family or Individual Counseling
For Spectrum Disorders, Dual Diagnosed,
Delay in Development. 105.00 (Family) / 65.00 (Individual)

SESSIONS MUST BE CANCELED WITHIN 24 HOURS OF ORIGINAL APPOINTMENT TO NOT BE CHARGED FULL SESSION PRICE


Fees and Scheduling

My fees are below the community average. I prefer meeting with clients steadily to spending the majority of my time scouring for clients that can afford the typical fee. My full fee is $55.00 for a fifty minute session. If this is prohibitive, a lower fee can be negotiated. Usually a lower fee is based on a formula of $2.00 per $1000 of yearly household income from all sources, minus $2.00 for every minor child in the household. Since a standard of living may exceed identified income, clients with informal forms of support or assets out of proportion to income may volunteer to pay more than the above formula. The goal is to achieve the benefit of an amount that has some significance, but also the assurance of an amount that is sustainable. Clients are responsible for initiating a change either up or down should circumstances change. Payment must be by cash or check; I cannot take debit or credit cards.

Writing reports or letters, ‘case-management' services, or extensive phone calls with third parties are generally inconsistent with how I work, but should they be agreed upon, they are reimburse at a rate of $130.00 for fifty minutes, with a minimum of one hour, and paid in advance. Occasional client-initiated contact with third parties that wish merely to verify sessions is not subject to the fee above. I collect the fee at the end of the first session and each subsequent session. This has the advantage of keeping bookkeeping matters from intruding on any mood developed in the session.
Prospective clients are encouraged to ask questions and read this disclosure statement if possible before scheduling a first appointment. First Sessions usually consist of questions and documents so it is usually scheduled as a 90 minute session rather than the normal 50 min which will be billed at a higher rate than a normal 50 minute session of $55.00. The first Session will be billed at 90.00.

When a session is scheduled, that time is reserved just for that client. It is usually not possible to fill an open slot at short notice. I ask that clients always call and notify me as so on as they know they cannot make a session. Clients will be charged for sessions cancelled with less the 24 hours notice, including the first session. If a first session is missed, it may of course be rescheduled, but if that first session was missed with less than 24 hours notice, payment will be necessary for both the missed and the completed first session

For al l sessions scheduled, if a client has not arrived on time, it is my practice to remain in my office available until 30 minutes after the scheduled start. While on occasion I may allow a late-starting session to run beyond the normal stop time, starting late will never be in itself a sufficient reason for running over.
Face t o face sessions are the core of this work. Phone sessions are only possible as a minority of total sessions. Each phone session must be agreed upon at least a week in advance. The most common purpose of phone sessions is to accommodate clients who travel for work. It is not possible to have a phone session with clients who are at home. For clients who relocate to a different city, phone contact is possible to enhance closure, but it is not possible to attempt substantive work in this circumstance. Rather, such contact will be briefer and focused on re-establishing a therapeutic relationship locally.

Confidentiality

Therapy is a very private and confidential matter. The fact that we have spoken, and anything discussed whether in session or on the phone will be treated by me as strictly confidential, except in the following situations set out in RCW 19.18.180: 1) You request and provide written permission for the disclosure, 2) Third-party payers (‘insurance') request it in order to fund treatment 3) You are planning a seriously harmful act against yourself or another person, or you have caused serious physical harm to another person. 4) If you press criminal charges against me, 5) You file a complaint of unprofessional conduct against me, or 6) If information concerning the abuse or neglect of a minor or vulnerable adult comes to light. In each instance the disclosure will be limited to the minimum information necessary, and only to the specified and appropriate party. In each case, disclosure will be limited to the minimum necessary information, and directed only to those individuals required, and the actual information released will be okayed with the client. In this work, it is never the case that whole files are photocopied and sent. Clients should understand, however, especially with disclosures that they initiate, that the party to which the information is disclosed my not be under the same obligation of confidentiality.
In addition, for clients having an individual session while participating in therapy with other family members or any third party, all information discussed in that session is considered confidential even for the other parties. However, for ongoing family therapy, it is not humanly possible in every instance to guard against inadvertent disclosure of minor details in later joint sessions.

Professional Accountability

The following statements are from the Washington Administrative Code (WAC 246-809-710)
“Counselors practicing counseling for a fee must be registered or certified with the department of health for the protection of the public health and safety. Registration of an individual with the department does not include a recognition of any practice standards, nor necessarily implies the effectiveness of any treatment.”
“The purpose of t h e law regulating counselors is: (A) To provide protection for public health and safety, and (B) To empower the citizens of the state of Washington by providing a complaint process against those counselors who would commit acts of unprofessional conduct.” “Clients are to be i n formed that they as individuals have the right to choose counselors who best serve their needs and purposes.”
Complaints or report s of therapist misconduct can be directed here: The Dept. of Health, Health Professions Quality and Assurance Division – PO Box 47869, Olympia, WA 98504-7869.Any health care provider's credentials can be checked at https://fortress.wa.go v/doh/hpqa1/Application/Credential_Search/profile.asp