All information is strictly confidential with the following exceptions:

  • When you give me written permission to release the information to someone
  • When legal and ethical responsibilities require me to disclose information for safety reasons, such instances of a client threatening harm to self or others
  • When ordered or subpoenaed by the court
  • By law, I must report abuse of children or mentally disabled/vulnerable adults to Child or Adult Protective Services


Your appointment time is reserved exclusively for you, so please give 24 business hours cancellation notice for any appointment which you are unable to keep.  Full fees are charged for missed appointments and cancellations with less than 24 business hours notice.  Please note that insurance does not reimburse any portion of these missed appointment fees.

Prescriptions:  I typically write prescriptions for refills during our visits.  If you need a refill between visits, please have your pharmacy fax me directly to request refills.  Fax Number: 206-728-5876