Can I complete any forms online?

Yes! We currently have two forms available to complete online from our website – our telehealth consent form and our release of information form. See links below for each.

Please click HERE to complete our telehealth consent form.

Please click HERE to complete our release of information form (ROI).

For both forms, after you click the link you will be asked to enter your name and email address and then will be able to complete and submit the form.

Do EBTCS Psychotherapists accept insurance?

EBTCS’ psychotherapists are not contracted with any insurance panels and are considered out-of-network providers. You may contact your insurance company to determine if they will reimburse you for services provided by EBTCS through your out-of-network benefits. Many insurance plans do provide the opportunity to apply for reimbursement for therapy services received from out-of-network providers. Please call your insurance company prior to your first appointment and request further information regarding your out-of-network benefits. Some helpful questions to ask your insurance company:

  • I’m seeking out of network services with the Evidence Based Treatment Centers of Seattle, their NPI# is ______________ , what are the percentage of Providers fees that are reimbursable?
  • Is there a deductible?
  • What is the maximum allowable?
  • How many sessions per year does my plan cover?
  • What information do I need to submit in order to receive out of network reimbursement?
  • What address do I send the information to?
  • Are there any time limitations regarding filing my claims?

Will EBTCS submit my charges for out-of-network coverage?

Clients at EBTCS are responsible for submitting their own statements to insurance.

Do EBTCS Psychiatrists accept insurance?

EBTCS psychiatrists are currently contracted with Regence and Premera.  If your mental health coverage is provided by either Regence or Premera (Blue Shield or Blue Cross), please provide our office with a copy of your insurance card at the time of your first psychiatry appointment. Our office will bill your insurance directly for appointments with our psychiatrists.

What are the typical psychotherapy billing codes?

  • Initial Evaluation – Billing CPT Code: 90791
  • Recurring Sessions – Billing CPT Code: 90834 (38-52 minute session) or 90837 (53-60 minute session)
  • Group/skills training sessions – Billing CPT Code: 90853

What is the payment policy?

Our policy is payment at the time of service and requires a credit card to be placed on file prior to starting service with EBTCS. If you are meeting with one of our psychiatrists, and have insurance coverage with Regence or Premera, we will courtesy bill your insurance directly for those appointments. Clients are responsible for all charges incurred whether or not insurance provides coverage. We provide clients with a monthly billing statement for the services rendered and fees paid to submit to insurance companies for out-of-network reimbursement.

What forms of payment do you accept?

Cash, check, Visa or Mastercard. Clients are responsible for all fees.

Do you offer a sliding scale or reduced fee?

Unfortunately at this time we do not offer a sliding scale or reduce fee schedule for our services.

What is your cancellation policy?

If it is necessary to cancel an appointment, you must cancel 24 hours before your scheduled appointment time.  You will be charged the regular fee for that session if you have not notified our office 24 hours before the time of the appointment. All voicemails are dated and timestamped. If your appointment is scheduled for Monday, please leave a voicemail over the weekend to confirm your cancellation.

What are your hours?

Our front office is staffed between Monday through Friday, 8:30am-6pm. We respond to calls between 9am-5pm. Evening sessions may be available for ongoing therapy; please speak to your therapist about his or her availability.