Currently, I accept Regence, HMA, and Asuris insurance plans. If not billing insurance, I accept cash, credit cards, debit cards and health savings account cards. Under Washington State law, physical therapists have direct access which means that they do not need a doctor's referral to evaluate or treat patients. Often a doctor's prescription is needed for the treatment to be covered by insurance companies. If you decide to bill the above insurances, please bring your insurance card as well as a copy of your physician's referral (if needed) with you to your first appointment. Please note that it is the patient's responsibility to know the details of their insurance plan and how physical therapy services apply to their deductible and out-of-pockets costs.

Please bring paperwork (two consent forms, one privacy form, one financial responsibility agreement, and one medical history form) that you have downloaded and filled out from the website under the tab "Forms" under "PT services". If you have had any diagnostic imaging done in the form of x-rays or MRIs, please bring a copy of the written reports. If planning to bill insurance, please bring your insurance card and a physician's referral (if required by your plan). In addition, it would be helpful to bring athletic shorts and a sports bra or bathing suit for females and athletic shorts for males. This makes it easier to assess postural deviations. Treatments include hands-on techniques in which access to skin is necessary. Please refrain from using lotions or oils before treatment as it makes it difficult to perform fascial releases.

The initial evaluation begins with a detailed verbal history of the reason you are attending physical therapy, possible emotional and physical factors that may be contributing to your symptoms, review of diagnostic imaging (x-ray, MRI) and personal goals you have for your healing process. We then proceed to a postural evaluation, movement mechanics, range of motion, strength assessment, special tests, and finally treatment. I reserve 90 minutes for evaluation because I want you to experience treatment before you leave. Please hydrate well after the treatment.

This is a highly individualized answer based on the chronicity of the problem, the therapist's available appointment times, and a variety of other factors. Ideally, it would be beneficial to see the client at least twice a week for 4-6 weeks. Once a week may be more practical for other clients. I find that if appointment frequency is less than once a week, restrictions may resurface. I will work with you to make a schedule that fits for you financially and therapeutically. I will also give you home exercise to continue this work on your own. Self care is the new healthcare!

You can find more information on John Barnes Myofascial Release Approach by visiting https://www.myofascialrelease.com