Psychological Services

I specialize in evidence-based psychotherapy and psychological evaluation for school-age children and teens, with a concentration in support for challenging behavior at school or home; anxiety and depression; difficulties with inattention, hyperactivity, and/or impulsivity; and gender-related issues experienced by trans and gender-expansive children and youth. I work during school days as the Director of Student Support at a K-8 school, and I offer after-school and weekend appointments to my private practice clients at my office conveniently located near I-5 in the Tigard Triangle area of Portland on 72^nd Avenue at 217.

My Typical Availability for Appointments

Fees

My fees are $95 for the first appointment and $75 for regular 45-minute appointments. I accept full payment in cash, check, or credit card (including FSA and HSA cards) at the time of service.

Forms

Please complete the Questionnaire and Agreements, and return them to me before your scheduled appointment, along with copies of past evaluations, relevant school information, report cards, standardized test scores, etc. The authorization form is an optional form you can use to allow me to release or obtain information from someone else.

Questionnaire

This questionnaire covers historical information to assist me in a thorough evaluation or consultation. I see children of all ages with differing problems, so some questions may be irrelevant to your child. You may ignore questions that do not apply or add additional details on the last page.

Agreements

These documents contain important information about my professional services and business policies (e.g., cancelling appointments, fees, confidentiality, and records). They also contain summary information about the Health Insurance Portability and Accountability Act (HIPAA). Although these documents are long and sometimes complex, it is very important that you read them carefully. We can discuss any questions you have.

Authorization to Use and Disclose Protected Health Information

With this form, you can authorize me to:

• provide specific protected health information to someone.
• receive specific protected health information from someone.
• provide and receive specific protected health information.

For example, you might decide to allow exchange of specific information with a physician, psychologist, or school.

In- and Out-of-Network Insurance Example

Unfortunately, insurance plans are sometimes set up in a way that makes it hard to figure out what will be covered; therefore, this example might not fully capture the nuances of your insurance plan.

Suppose:

• your provider’s Standard Fee is $120,
• your insurance company’s Allowed Fee is $100, and
• your insurance covers 60% of their Allowed Fee.

If you haven’t paid off your deductible, seeing an in-network provider costs $100 (the Allowed Fee), and seeing an out-of-network provider costs $120 (the Standard Fee).

If you’ve paid off your in-network deductible, seeing an in-network provider costs $40:

• you pay your in-network provider a $40 copay (40% of the $100 Allowed Fee),
• your insurance pays your in-network provider $60 (60% of the $100 Allowed Fee), and
• your in-network provider waives the remaining fee (the difference between the Standard Fee and the Allowed Fee).

If you’ve paid off your out-of-network deductible, seeing an out-of-network provider costs $60:

• you pay your out-of-network provider $120 (the Standard Fee), and
• you submit a claim to your insurance for $60 (60% of the $100 Allowed Fee).