Payment and Forms

I am a preferred provider with the following insurance carriers and will bill them directly.  Please confirm coverage eligibility prior to your first appointment.

Blue Cross/Blue Shield plans

Premera & LifeWise plans

Regence plans

First Choice & Kaiser PPO plans

United Health Care

Cigna plans

Aetna plans

For other insurance carriers, I am considered “out-of-network.”   This means that clients will have to pay for services “out-of-pocket” and then seek reimbursement directly from their insurance carrier.  I can provide clients with an invoice for this purpose.

Please contact me directly for more information about fees and methods of payment.

Please download and complete the following forms prior to your first appointment.

1. New Patient Registration
2. HIPAA Notice of Privacy Policy
3. Authorization to Release Information for Billing and Treatment