Frequently Asked Questions


  • If you have an emergency, call 911, or go to the nearest emergency room.

Getting Started

Do I need a referral?

  • No. We accept patients without a referral from their primary care physician.

What should I expect at the free 10-minute consultation?

  • During the free 10-minute consultation, we will briefly go over what your concerns are, and your preferences for treatment. This will be an opportunity to see if we are a good fit to work together. If we decide that our practice will be a good fit for you, we will send you instructions on how to schedule your appointment for your Psychiatric and Wellness Evaluation through CharmEHR, our patient portal. An email with the videoconference link for our appointment will be sent directly from CharmEHR.

What should I expect at the initial Psychiatric and Wellness Evaluation?

  • During your Psychiatric and Wellness Evaluation, we will ask you a lot of questions about your medical and psychiatric history, medications, relationships, environment, diet, spirituality and other lifestyle factors. Prior to your initial appointment, we will send you information on completing our New Patient Intake Form through our secure electronic platform, as well as other related forms to sign. It is important that you complete all paperwork prior to your first appointment.


What conditions do you not treat?

We do not provide evaluation and treatment services for:
  • ADHD (Attention Deficit Hyperactivity Disorder).

We will NOT be able to provide the appropriate level of care via telepsychiatry for patients who are dealing with:
  • Suicidal thoughts, or urges to self-harm or attempt suicide
  • Thoughts or urges to harm someone else
  • Eating disorders (anorexia, binging/purging)
  • Alcohol or drug addiction/abuse
  • Any other condition or set of symptoms that need a higher level of care

What services do you NOT provide?

  • Emotional Support Animal Letters
  • Disability or FMLA Evaluations
  • Forensic Evaluations
  • L&I assessments
  • Assessments for ability to return to work, ability to own a weapon, ability to drive a certain vehicle, etc.
  • Transcranial Magnetic Stimulation / Electroconvulsive Therapy
  • Suboxone Treatment
  • Couples or Family Therapy
  • Court-ordered treatment, or treatment under the Washington Involuntary Treatment Act (ITA)

Do you prescribe controlled medications?

No. Due to the increased regulatory requirements, we do not prescribe any controlled medications which are often used to treat the following conditions:
  • ADD/ADHD (often treated with stimulants like Adderall, Concerta, Ritalin, Vyvanse, etc)
  • Anxiety/Panic (often treated with benzodiazepines like Xanax, Ativan, Klonopin, Valium, etc)
  • Insomnia (often treated with controlled sleep medications like Ambien, Lunesta, Sonata, etc)

Cancellations / Billing / Fees / Insurance

What if I have to cancel or miss my appointment?:
  • You will not be charged for cancellations made more than 48 hours in advance.
  • Cancellations made less than 48 hours in advance are billed at 1/2 the appointment rate.
  • Cancellations made less than 24 hours in advance are billed at the same rate as the scheduled length of time of your visit.
  • You can cancel your appointment through the patient portal. Do not send SMS texts to our office number, as those will not go through.
  • Missed appointments are billed at the same rate as the scheduled length of time of your visit.
  • If you are more than 15 minutes late, we consider that a missed appointment.

Do you other charges or fees?:
Yes. Besides appointment fees, we charge modest fees for a few services:
  • Phone call – less than 5 minutes: no charge
  • Phone calls over 5 minutes, prior-authorization for medications, forms, letters, etc: Pro-rated charge based on an hourly rate of $400.

Do you take insurance? :
We are out-of-network for all insurances, so we do not take insurance. Payment is required at the time of care via credit or debit card through our secure platform. Even though we do not bill insurances directly, some health insurance policies offer out of network benefits that will allow you to request reimbursement from your insurance company for what you pay for our services. We cannot make any guarantees of insurance reimbursement so please check with your insurance company if this is an option available to you. For those with private insurance, we can provide a superbill (itemized health care receipt) at your request, for you to submit directly to your insurance company. If you plan on doing this, we recommend calling to confirm your coverage and finding out what billing codes they cover.