Office Policies

Appointment Time Structure:

Sessions are 50 minutes long. Prorating for extended sessions is calculated by 10-minute increments. If you feel the allotted time may not be enough for you, contact me and we can discuss extending it.

1402 S Grand Blvd Suite 201 Spokane WA interior

My fee for sessions is $150.00. Please confer with me before commencing treatment.

Payment is due at the time of service. I do billing on a monthly basis. I will refer to collections if reasonable attempts to collect have failed. I accept checks, cash and credit cards.

Periodically it will be necessary to raise my fees. I will provide reasonable notice when this is the case.


I am on the following insurance panels: Be sure to check with your insurance company to confirm coverage and your co-pay amount and with me before commencing treatment so as to assure proper and timely submissions of claims. If for some reason your insurance company refuses to pay for the claim, you are responsible for paying my full fee.

Availability by phone:

I am available for emergency phone consultation to my established patients. If there will be a charge for these consultations, it will be decided by mutual agreement, based on the number of calls that are made and the length of time they require. Please do not hesitate to call for appointment time confirmation, or to briefly “check-in”. You will be calling my mobile phone, so please understand that I may not be available to talk at the time you call. I will return your call as soon as I am able to talk privately. Many of my clients prefer to check in by text or by emailing me:

Lateness and Cancellations:

I require 24 hours notice for cancellations. You will be charged the full amount of the session if no notice is given and you fail to come to a scheduled session. Lateness happens, I know, but it will benefit your treatment and our relationship for you to arrive on time. If you are late, there will be a full charge and the therapy hour will end at the scheduled time.

Release of Information:

Information gathered from collateral sources such as your MD, previous therapist and/or psychiatrist enhances our therapeutic effectiveness. I will request a signed release to contact any these sources. The consultation will be limited only to relevant information regarding diagnoses and treatment.


You are free to terminate counseling services at any time for any reason. It is in the best interest of the therapeutic process to plan termination together based on the achievement of goals and to process the end of therapy. Many people like to take therapy “breaks” and I can always accommodate this, although I cannot reserve your usual time.

Click on the link to contact me: Contact