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Ethics of Therapy

Confidentiality

Your privacy is a cornerstone of the therapeutic relationship. What you share in sessions is kept strictly confidential and protected by professional ethics and law. This means I will not disclose your personal information or the content of your sessions to anyone without your explicit permission.

There are a few rare exceptions required by law—such as situations involving immediate risk of harm to yourself or others, or concerns related to the safety of a child or vulnerable adult. If an exception ever applies, your therapist will explain the situation and involve you in the process whenever possible. If you are in need of crisis resources, I have a robust list here.

Confidentiality creates a safe, respectful space where you can speak openly, explore difficult emotions, and work toward meaningful change with trust and confidence.

Security

The security of your private records are at the heart of my practice. I use a HIPAA-compliant electronic health record (EHR) system to store all documentation, scheduling information, and communication securely. This means your data is encrypted, protected, and accessible only the authorized provider involved in your care.

My telehealth sessions are conducted through a HIPAA-compliant video platform that safeguards your confidentiality with encrypted connections. No sessions are recorded, and your information is never shared without your consent.

By using trusted, secure technology for both record-keeping and virtual sessions, I ensure you receive convenient, flexible care without compromising your privacy or safety.

Electronic Communication

I cannot ensure the confidentiality of any form of communication through electronic media, including text messages. If you prefer to communicate via email or text messaging for issues regarding scheduling or cancellations, I will do so. While I may try to return messages in a timely manner, I cannot guarantee immediate response and request that you do not use these methods of communication to discuss therapeutic content and/or request assistance for emergencies.

Virtual Therapy in Washington State

No Surprises Act and Good Faith Estimate

Good Faith Estimate

Under Section 2799B-6 of the Public Health Service Act, health care providers and health care facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to file a claim with their plan or coverage of their ability, upon request or at the time of scheduling health care items and services, to receive a “Good Faith Estimate” of expected charges.

This law is designed to provide transparency to clients regarding their expected medical expenses and to protect them from surprises when they receive their medical bills. While it is not possible for a therapist to know, in advance, how many therapy sessions may be necessary or appropriate for a given person, below is an estimate of the cost of services provided.

Estimated total cost for one year (Individual therapy):
Example based on weekly sessions: (e.g., $120x 52 = $6,240)
Example based on bi-weekly sessions: (e.g., $120x 26 = $3,120)
Example based on monthly sessions (e.g., $120x 12 = $1,440)
Actual number of sessions may vary depending on treatment needs.

Your Rights

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

Make sure to save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises 

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Virtual therapy in Washington