Health Care Coordination: It is important to make sure that the problems you present are not related
to a physical health difficulty. Since I am not a medical provider, I cannot determine if you have physical conditions that might be related to your health and our work. Therefore, it is advised that you get a physical examination from a physician as soon as possible. It would be best to tell your medical provider that you will be working with me so we might begin to coordinate your health care. With your written authorization, I may obtain your medical records so I have a better understanding of your overall health.
Risks and Benefits: During the course of therapy, you might notice changes in your symptoms,
problems, and functioning. Since we will be exploring challenging territory in your life, you might experience greater difficulty throughout our work. This is absolutely normal. Counseling is intended to alleviate problems, but sometimes as you get to the root of some issues, you may feel them even more acutely than in the past.
First Session: Please complete the following paperwork before your first in-person session: New
Client Form, Disclosure Statement, and Notice of Privacy Practices. During the first session, we can review your paperwork, discuss the reasons why you are seeking counseling, and talk about your goals. Additionally, I can answer any questions you might have about therapy. We will schedule our next appointment at the end of each session, though generally we will establish an ongoing time reserved for you weekly.
Appointments: Please notify me via phone, at (206) 979-6764, or by email
Julie@julieholtcounseling.com at least 24 hours in advance (48 hours is requested) if you have any schedule conflicts or emergencies which would require you to cancel our appointment. Please note that text messages cannot be used for cancellation notices. Likewise, I will notify you via phone or email if I should need to cancel our appointment. Please pay attention to any illness symptoms you may have that may interfere with your ability to make our appointment. When you arrive for an appointment, please make yourself comfortable in the suite’s waiting room. Our sessions will be about 45-50 minutes long (standard for therapy appointments), and we will need to end on time. I charge the full session fee for any sessions that are shortened due to your late arrival or early departure. I cannot accommodate making up for lost session time unless it is due to my error. Please note that you are responsible for the full session fee if you miss an appointment without 24 hours notice of any cancellations. You will not be charged if I cancel our appointment or in the case of extreme emergencies. Waking up sick on the day of our appointment when no other symptoms were there the day before would qualify for this type of emergency. Please be prepared to pay the full session fee from your appointment that was either missed or cancelled late (not within 48 hours) when you attend your next scheduled appointment. Also, please note that most insurance companies will not reimburse in any case for a late cancelled or missed session.
Fee for Services: My standard fee is $160.00 per 45-50 minute session. This is the same fee charged for
any missed or late canceled appointments. Additional fees might include: preparation of requested documents, or copying and sending records. I will discuss any fees with you at the time of a request. Please inform me of any change in your financial situation that impacts your ability to pay for services. I do sometimes raise my fee. I will give you notice of this usually a month in advance. At this point, I tend to raise my fee at the beginning of the calendar year, but I do not raise it every year. My intention is to keep my fee in line with the Seattle area such that you will find similar rates throughout the Seattle Metro area for similar services.