Professional Disclosure and Intake Forms
Intake forms and disclosure notices will be sent to you via a confidential link.
I do not accept insurance or offer statements for insurance coverage.
$180 for a 60 minute session for individuals.
Payment is expected at time of service. Payment can be made online through a secure link.
Existing clients: https://alicia-grace.clientsecure.me
What you share in the session is held in the strictest of confidence. Due to my exempt status as a pastoral counselor, my records cannot be subpoenaed by the courts or other professional entities. I do not submit statements or records to insurance companies, which ensures a further level of confidentiality.
As a mandated reporter I am required to report if I suspect someone is at risk of harming themselves or others.
I have a 24 hour cancellation policy. I reserve your session time especially for you. If you can’t give a 24 hour notice to cancel your appointment, you are responsible for the payment of that session.
(206) 330-5392 ♦ Dr. Alicia Grace ♦ firstname.lastname@example.org