Pricing & Payment

$400 | 75–90 minutes

Your first appointment is a comprehensive evaluation designed to understand both what you are experiencing now and the broader context surrounding it.

Depending on your individual needs, we may explore:

• current symptoms and concerns

• psychiatric and medical history

• previous diagnoses and treatment experiences

• current and past medications

• sleep, stress, lifestyle, and other contributing factors

• family history

• hormonal or reproductive factors when clinically relevant

• your goals, preferences, and concerns about treatment

Together, we develop an individualized plan that may include medication, psychotherapy recommendations, lifestyle or integrative strategies, laboratory evaluation when appropriate, and collaboration with other members of your care team.

Follow-up visits are designed to support thoughtful, ongoing psychiatric care without feeling rushed.

Standard Follow-Up | 30 minutes | $200
Appropriate for routine medication management, symptom monitoring, treatment adjustments, and ongoing care.

Complex Follow-Up | 45 minutes | $275
Recommended when additional time is needed for diagnostic clarification, screening tools, multiple concerns, more complex medication decisions, or treatment planning.

Extended Follow-Up | 60 minutes | $350
Reserved for more clinically complex visits that require additional assessment, in-depth treatment planning, or other time-intensive needs.

Appointment length may be adjusted based on clinical need. When using insurance, coverage and patient responsibility vary by plan.

Some forms and letters require additional clinician time outside of your scheduled appointment for chart review, documentation, and completion.

Standard Forms or Letters | $50
For routine workplace or school accommodations, treatment verification letters, and other forms requiring limited review.

Complex Documentation | $100
For multi-page forms, detailed accommodation requests, functional-impact documentation, or paperwork requiring more substantial chart review.

Extensive Documentation | Starting at $150
For unusually time-intensive requests, detailed narrative reports, or extensive record review. You will be notified of the anticipated fee before work is completed.

A follow-up appointment may also be required when current symptoms, functioning, or clinical status must be assessed before documentation can be completed.

Fees are only charged when permitted by applicable law and insurance requirements. Certain legally required certifications, including qualifying Washington Paid Family & Medical Leave documentation, may not carry an administrative fee.