At Bridges of Hope Lisa is committed to the health and well-being of each client. She takes great care to provide quality counseling services, personalized for each person's unique needs and life situation.
Providing Individualized Counseling Services for
- Children Age 10-13
Individuals $100.00 per 50 minute session (This fee includes a 20% discount for those who are paying out of pocket)
Payment due at time of Service
For your convenience Lisa accepts Cash, Check, and Credit Cards
Lisa is on the following insurance panels: Blue Cross and Blue Shield of Oregon/Regence, Optima/United Behavioral Health, , BridgeSpan, MultiPlan, Mental Health Network, and Health Maintenance Administrators.
For all other insurance plans, Lisa is an out of network provider. Some insurance policies have out of network benefits, where they reimburse members up to 80% for out of network providers. Please check with your insurance company about your out of network benefits. For out of network clients, you will pay for each session at the time of the session. It will be your responsibility to file your claim with your insurance company for reimbursement. If you will be utilizing this benefit, please let Lisa know, she will provide you with a master bill at the end of each month for the purpose of requesting reimbursement from your insurance company. Lisa also accepts payments from the Oregon Department of Justice Victims Compensation Program, and the Washington Victims compensation program.
New Clients please print one copy of the following. Click on highlighted word for a downloadable file.
- HIPAA Privacy Statement
- HIPPA Privacy Statement Receipt
- Payment Contract for Services
- Background Information: Print Adult Background for individuals 18 years or older; Children's Background Information for those under 18. For COUPLES, Please fill out one Adult form for each partner.
Please print two copies of
- Office Policies (one for your records and one to sign and bring to first session)
Prior to your first session, please READ & KEEP the HIPPA Privacy Statement, the Professional Disclosure Statement, and one of the Office Policy forms.
Please BRING THE FOLLOWING TO YOUR FIRST APPOINTMENT:
- Background Information
- Receipt of Privacy Statement. (Couples: you may both sign one Receipt)
- Office Policies
- Payment Contract for Services and a copy of your insurance card front and back
IF you wish me to give information to or receive information from any other person who is not involved in your therapy, you will need to provide a signed release of information granting me permission. If so, please download this Release of Information form, fill it out and bring it to your appointment.
If you have any questions or concerns about my paperwork, please email or call me.