I take the following insurance: Regence, First Choice, Kaiser  PPO, Premera, Blue Cross/Blue Shield and Wellspring EAP.
 Cash fee: $150 for 50-minute, individual session


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new client intake form
File Size: 64 kb
File Type: pdf
Download File
new_client_intake_form_-_couples_1_14_20.pdf
​notice_of_privacy_practices.pdf
​disclosure_form__1_14_20.pdf
​financial_form_.pdf
​payment_authorization_form.docx
​no_show_policy.pdf