Forms

Fees, Insurance & Forms

​Call 425-390-4677 to make an appointment.

Click on the tab to open and print the form.

New clients


Please print and fill out the new patient information form and bring to your appointment. We would appreciate you arriving 15 minutes prior to your appointment time to fill out intake paperwork. If you are unable to print the new patient information form, it will be available in our office. 


​Fees 

Our fees range from $130 to $150 per hour depending on the service being provided and the length of time. Specific fee schedules per clinician are included in the therapist's Disclosure and Informed Consent form, which will be provided to you during your intake.


Some of our therapists do accept sliding scale if you are uninsured. Please ask if that would help you get the services you need. Fees will be determined on a case by case basis.


We require at least 24 hours advance notice for cancellations. Appointments cancelled less than 24 hours will incur a cancellation fee.  


Insurance

Toni Evans

Currently, Toni is an in network provider for
~Regence                                                      ~ Amerigroup
~First Choice Health Network                   ~ Coordinated Care
~Premera and Lifewise                              ~ Provider One
~United Healthcare                                    ~ Aetna
~Kaiser Permanente: Access PPO

~Anthem

​~Cigna


Out-of-Network Provider for 
~All other insurances
Please call your insurance provider to make sure Toni is covered under your specific plan and what your out of network cost will be. 


Sarah Himes

In network provider for

~ Regence

~ Kaiser Access PPO

~ Cigna

~ First Choice Health Network

~ Optum​

~ United Healthcare

~ Premera

~ United Healthcare 


Elizabeth Hemmert

In network provider for

~ United Healthcare

~ Premera

​~ Kaiser Access PPO

~ Regence

~ Beacon

​~ Cigna

~ Provider One

~ First Choice 


Sydney Wolfe

Sydney is currently billing as an out of network provider. Please contact your insurance company about your out-of network benefits. 


Nathan Fritz

In network provider for

~Regence 

~Cigna

​~ Premera

​~ Optum/United Healthcare

~ Aetna

~Kaiser PPO

Nathan is currently  working in credentialing with insurance companies.  


Lindsay Hoffe

In network provider for

~ Regence

Is currently working on becoming an in network provider with insurance companies. Please contact your insurance company about out-of-network coverage until her status has changed.