Your full name, date of birth, email, and your contact phone number will get things started. It is helpful to know the name and contact information for your healthcare provider. Any test results, such as x-ray, MRI, or EMG associated with your condition would be useful. Last, please complete the required forms found on our website corresponding with your area of concern to maximize our time together. I will review this prior to our first appointment.
To conduct a video session you will need a reliable broadband internet connection, such as cable or DSL, preferably not on your phone or any device that you have to hold. Typically "wired" connections are more stable than wifi, but high speed wifi is usually fine. Ideally, you will initiate the session from a well-lit space that you can move around in and that is quiet and free from distractions. NOTE: If the connections drops or we have technical difficulties, I will call you at the phone number you provided during registration.
Your first visit involves a thorough evaluation and a customized treatment program. We discuss any questions or concerns that may come up after reviewing your completed registration paperwork. We will conduct a series of movements and measurements to help determine the source of discomfort or dysfunction. This may include ranges of joint, muscles and nerve motion, body alignment, strength and functional tests.
This first visit is a synthesis of the written, verbal and objective information to help determine a path to progress and guides me in designing a customized treatment program. We will go through the program together to ensure it “fits”. The treatment program can include manual therapy and massage techniques, alignment corrections, stretches, strengthening, relaxation and breathing techniques and aerobic exercise to “oxygenate” your system. Treatment programs are a prescription for wellness. Just as your pharmacist or doctor gives you specific dosage instructions for medicine, I will determine the correct “movement medicine”, including dosage: repetitions, sets, hold times, and frequency.
Follow up visits are a time for us to discuss how you are doing. Based on your feedback and progress, I modify your program to meet your goals. Your input, participation, and consistency are key to success. The best home program is the one you do!
The answer is largely determined by your treatment diagnosis. We will discuss this on your first appointment. My goal is to identify the source of dysfunction and resolve it as quickly as possible. Depending on the rate of your progress, we can adjust visits as needed.
Wear comfortable, loose fitting clothing that you can easily move in.
Yes, Washington is a “direct access” state for Physical Therapy, meaning anyone can refer themselves to a physical therapist. However, if you are submitting a claim for reimbursement to your insurance, they may require you to have a referral or a prescription for Physical Therapy for the service to be covered (i.e. they won’t pay without it).
Evaluation/Initial Session: 60 minutes/$150, 75 min/$170, 90 minutes/$190. These visits cost a bit more due to the extra time needed to begin to synthesize an optimal path to your goals. Treatment is also included in this visit.
Follow-up sessions: 60 minutes/$120, 45 minutes/$90, or 30 minutes/$60
(Payment is expected at the time of service.)
We accept cash, personal checks, credit cards, and Paypal for payment. There is a Paypal button on our website under Patient Info for those interested in making an online payment on their account.
Yes, there is a 10% discount for cash payment.
Kindly give 24-hour notice, so that we can schedule someone that is waiting for an appointment in your place. Without 24 hour notice, you will be charged for your appointment time.
By appointment only, Monday-Friday.
The short answer is “no”, with the exception of car accidents billing auto insurance. I do not contract “in-network” with any private health insurance. However, most private health insurance plans have “out-of-network” benefits and allow you to submit your own claims for physical therapy. Many times, your out-of-pocket cost may not be substantially different than paying me privately or using an in-network provider, depending on your insurance plan.
In many cases, the answer is “yes”. Most insurance plans allow you to see providers “out-of-network”. Every insurance plan is different. Know what is covered in your plan by calling your insurance to determine what services are covered and what the reimbursement process is. If you wish to submit your physical therapy bills for re-imbursement, make arrangements with me ahead of time so I can provide you with the specific insurance billing (CPT) codes necessary after each visit. I am unable to do this retroactively.
Yes, as long as your policy has personal injury protection (PIP) and your claim is open. I will do your billing if you provide the name of your car insurance, your insurance claim manager’s phone number, claim #, and the date of the accident.
After 25 years of being “in-network” and accepting most insurance plans, it has become increasingly time consumptive to bill, therefore unsustainable for independent healthcare providers. Insurance is a contract between you and your insurer. Inserting the healthcare provider in the middle of this contract creates a conflict of interest and favors large healthcare institutions that are able to negotiate better contracts due to higher patient volumes.
Additionally, insurance continues to shift an increased percentage of the cost burden to patients: sky-high premiums, excessively high deductibles and co-pays. I realized most patients were paying for the lion’s share of my services out-of-pocket anyway. Also of note, the trend of patients bearing an ever-larger share of overall healthcare costs has coincided with record profits for insurance companies and their shareholders (e.g. see articles in Forbes and CNBC for starters.)
When universal healthcare coverage becomes a reality, I will gladly reconsider. For now, this allows me to remain focused on what is most important: you and your wellness goals.