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Fees, Policies, and Forms

Understanding your therapy fees and insurance options helps you plan for care with confidence. I provide transparent session rates, a superbill for out‑of‑network support, and clear information about forms and policies for clients in Washington State. Payment is due at the time of service via credit card. 

 

45 minute Session                    $175

55 minute Session                     $200 

First Session                              $225 

Late cancel/no show                 $200

​Out‑of‑Network Benefits

I am an out‑of‑network provider. I can provide a monthly superbill, if requested, so you may submit for reimbursement.

To check your benefits, contact your insurance provider and ask:

  • Do I have out‑of‑network mental health coverage

  • What percentage is reimbursed

  • Is there a deductible

  • How do I submit a superbill

​​Good Faith Estimate (No Surprises Act)

Under federal law, you are entitled to a Good Faith Estimate explaining the expected cost of therapy services. This estimate will be provided before your first session.
For questions or more information about your right to a Good Faith Estimate,  visit www.cms.gov/nosurprises.

​Cancellation & Rescheduling Policy

Sessions must be canceled or rescheduled with 24 hours’ notice. Late cancellations or missed appointments are billed at the full session rate.

Client Intake Forms

All intake forms are completed securely online before your first appointment. Once we schedule your initial session, you’ll receive a link to complete your paperwork.

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How to Get Started

 

If you have questions about fees or getting started, I’m here to help. Reach out today to schedule a consultation.

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*A note on insurance: 

After many years accepting insurance, I have decided to transition to a private pay model. I'll be out of network with all insurance companies starting June 15th 2026.

© 2026 by Isabel Decian , PLLC dba Isabel Decian Counseling

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