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Practice Information
To Reach Me ...
My office phone number is (206) 364-1195.
As I do not answer the phone
when I am in session you will likely reach my confidential voice
mail. I check for messages periodically during my weekday business
hours and am generally able to return calls by the end of the next
business day.
If you would like a call back, please leave your phone number and
good times to reach you. If I am away, the name and phone number of
the psychiatrist covering for me will be on my voice mail greeting.
If you need to reach me urgently call my pager at
(206) 969-0604.
If I am not
available as quickly as you need, call the Crisis Clinic at (206)
461-3222 or (800) 244-5767. For emergencies call 911 or go to a nearby
emergency room.
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Scheduling and Canceling Appointments
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To schedule or cancel all appointments please call (206)
364-1195 and leave me a message. To schedule an appointment
please leave the days and hours when you would be available to
meet.
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If it is necessary for you to cancel a session you will not
be billed if notice is given at least 24 hours before
an appointment.
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My 24 hour cancellation policy allows me to offer the
appointment time originally reserved for you to someone
else, helps me to run my practice more efficiently and
allows my practice to stay viable.
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If you do not cancel your appointment at least 24 hours in
advance my regular appointment fee will be charged to
you. Insurance plans do not cover fees for missed
appointments or late cancellations.
Prescriptions
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Medication refills are best handled during appointments.
If you find you are running low of a medication
between appointments, call your pharmacy and ask if there is
a refill on file. If
there is not, ask them to fax me a refill request.
Please allow at least 48 hours for refills outside of
appointments.
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Payments,
Billing and Insurance
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for my services may be covered by your health insurance.
Prior to our initial appointment, I suggest that you phone
your insurance company to clarify your mental health
benefits and to get instructions for any authorizations or
referrals that may be required.
I
currently am a contracted provider for Uniform Medical,
Premera and Regence PPO and PAR.
Many insurance companies have out of network benefits and
cover a portion of my fees.
I have
contracted with Health Care Administrative Services
(HAS) in Everett (425) 258-1880 to handle my
insurance claims and billing. They verify insurance
benefits, submit bills for each appointment to insurance
companies, and send out monthly billing statements to you.
I collect
annual deductibles and co-pays at each appointment. If you
do not have mental health coverage I ask that you pay my fee
in full at the time of our appointment. I accept Visa and
Master Card payments. Account balances are due in full upon
receipt of my monthly statement.
You are
responsible for the full payment of all fees associated with
the services I provide to you, whether or not an insurance
company or another party may pay for part or all, of the
fee. If I have not received your payment within 120 days
after it was incurred, your account may be turned over to a
collection service.
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Confidentiality
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Under the laws of the State of Washington, all information I
have about you and all communication and issues discussed
during the course of therapy are confidential. They can be
disclosed to other people only with your signed consent with
the following exceptions:
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I am required by law to inform proper authorities if I have
cause to believe that a child or dependent adult is being
abused or in imminent danger of such acts by you, if you
pose an imminent risk of danger to yourself or another
person or property or if you are unable to take care of your
basic needs.
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Other exceptions to confidentiality include:
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1) if you use your insurance coverage, a diagnosis and other
required information will be sent to your insurance company;
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2) if I receive a court order, I may have to disclose
specific information about you; or
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3) if an overdue unpaid bill is referred to a collection
agency, your name, payment record, last known address and
the fact that you were my client, will become known to that
agency.
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