Please respond to the questions below. We will contact you as soon as possible to answer any questions you may have. This form is for to counseling scheduling only. If it’s urgent, please call 988 or 911.
Payment Information
Free 15-Minute Consultation: I offer a complimentary 15-minute consultation to discuss your goals, determine which services are appropriate for your needs, and answer any questions about the process.
Service Availability Notice
Clinical Mental Health Counseling (Therapy):
Available only to Oregon residents, in-person or via telehealth.
Mental Performance Coaching:
Available nationwide via telehealth. Your location determines which services you’re eligible to receive. We’ll clarify this during your free consultation.Individual Session Rates: $185 per 50-minute session
Services include:– Clinical mental health counseling (Oregon residents only)
– Mental performance coaching (available nationwide)
– Performance improvement and competition preparation
– Injury recovery mental support
– Assessment and treatment planning
Services include:
– Team dynamics workshops
– Parent education and support groups
– Coach development training
– Mental skills training groups
Insurance Coverage (Oregon Residents Only)
For Oregon-based clients receiving clinical mental health counseling, I accept the following insurance plans:
– Care Oregon
– Health Share of Oregon
– Jackson Care Connect
– Columbia Pacific CCO
– Aetna
– Providence
Important: Insurance only covers clinical mental health counseling services (therapy with diagnosis). Mental performance coaching is not insurance-billable and is private pay only.
Out-of-Network Insurance:
If your insurance plan is not listed above, I can provide detailed superbills for you to submit for out-of-network reimbursement. Reimbursement rates vary by plan.
Out-of-state clients: I cannot bill insurance for services provided to residents of other states. Mental performance coaching (non-clinical) is available nationwide via telehealth on a private pay basis.
Payment Policies
Payment Methods:
– Credit/debit cards
– Venmo
When Payment is Due:
Payment is due at the time of service.
Sliding Scale:
Limited sliding scale slots available for clients with financial hardship. Please inquire during consultation to discuss eligibility and available rates.
Cancellation Policy:
48-hour advance notice required for cancellations or rescheduling. Late cancellations (less than 48 hours notice) or no-shows will be charged the full session fee. To cancel or reschedule, contact me by phone or email.
Exceptions: Cancellation fees may be waived for documented emergencies, serious illness, or other extenuating circumstances at my discretion.
Good Faith Estimate
Under federal law, you have the right to receive a Good Faith Estimate of expected charges before receiving services. You will receive this estimate during your initial consultation.
Questions About Services or Insurance?
Contact me to discuss:
– Which service type is appropriate for your needs
– Insurance verification and coverage details
– Sliding scale availability