Contact, Fees, Forms and Location

Alison Withey, LMHC
3130 E. Madison St., Suite 203B Seattle, WA 98112
206-250-9060 · (fax) 206-299-3766 alison@alisonwithey.com

Fees

My fees are due at the time of our session and payable by check, cash or credit/debit as well as HSA or FSA debit cards.

Individual Counseling: 60 min/$125.00,  90 min/$185.00
Couples Counseling: 60 min/$130.00,  90 min/$195.00
Hypnotherapy: 60 min/$130.00,  90 min/$195.00

Insurance

I do not bill insurance. I am an out-of-network provider for most insurance companies. I can provide you with a receipt and your insurance company may cover my services as an out-of-network provider. I cannot guarantee reimbursement, please contact your provider for this information.

Counseling Forms

Disclosure Statement
Individual Intake Form
Relationship Intake Form
Notice of Privacy Practices

The Daring Way™ Forms

You can either download a hard copy of the Daring Way™ pre-registration form to send in via email, US mail or fax or you can pre-register through my website on the link provided.
The Daring Way™ Pre-registration Form
Website Daring Way™ Pre-registration Form