Helen Widlansky, Phd – Licensed Clinical Psychologist
2811 East Madison Street, Seattle, WA 98112
847.477.0355 or 206.946.2365
FEES AND BILLING
I am paneled with both Blue Cross Premera and First Choice Insurance Plans. For all other plans, I am an out of network provider. To facilitate your receipt of out of network reimbursement, I will provide you with the statements the at your insurance requires. If you plan to use your insurance for therapy, I strongly advise you to call your insurance company prior to our first meeting to be clear of your benefits.
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CANCELLATION / LATE ATTENDANCE POLICIES
You may cancel an appointment with at least 48 hours notice. If you have not given 48 hours notice you will be responsible for paying for your reserved time slot. Insurance companies will not cover missed appointments.
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DOCUMENTS AND FORMS FOR NEW CLIENTS
Please print and complete the following forms prior to our first meeting.
This form takes 10 minutes or less to complete and allows me to more quickly understand what brings you to therapy.
This form provides information about our therapeutic agreement. You will need to sign this form before we begin our work together.
This document provides more detailed information on your rights to confidentiality. This form is yours to keep and no signature is required