At The Aftermath Agency, our goal is to provide care that is practical, relational, and tailored to you. This page covers what to expect around communication, sessions, payments, accessibility, and crisis support.

How We Communicate

We prioritize being fully present in our sessions. Because of that, responses to messages may be delayed:

  • Email: Only for administrative matters. We cannot provide clinical guidance or therapy through email or text.

  • Phone/Text: Limited to scheduling or administrative questions.

Important: We are not a crisis service and do not offer on-call coverage.

Need Immediate Support?

If you are in danger or facing a life-threatening situation, call 911.

Mental Health & Crisis Resources:

  • Crisis Connections (WA): 866-427-4747 (King County) | 800-576-7764 (Pierce County)

  • 988 Suicide & Crisis Lifeline – Call or Text

  • Trans Lifeline: 877-565-8860

  • Trevor Lifeline (LGBTQIA+ under 25): 866-488-7386 or text “START” to 678-678

Sessions & Payment

We are a private pay, out-of-network practice, which allows us to focus on your needs rather than insurance requirements.

  • Payment: Processed automatically within 24 hours of your session

  • Scholarships & Sliding Scale: Limited spots are available for clients with financial need. Scholarships cannot be combined with insurance reimbursement. Please indicate interest during your consultation.

  • Out-of-Network & Superbills: We provide superbills for clients seeking insurance reimbursement. Ask your insurance provider:

    • Do I have OON mental health or physical therapy benefits?

    • Is telehealth covered?

    • Which CPT codes are covered?

    • What percentage is reimbursed after my deductible?

    • Tools like Reimbursify can assist with claims.

Complimentary Consultation

Our 15-minute consultation helps you determine fit and ask questions.

  • Not a crisis line

  • Requires a short survey (response within 48 hours)

  • If we move forward, you’ll receive a link to complete intake paperwork

Benefits of Private Pay:

  • Freedom to choose your provider

  • Control over pace and focus of care

  • Privacy: no insurance notes or diagnoses shared

  • Consistent care, even if insurance or employment changes

  • Flexible online access without insurance limitations

Before Your First Session

To prepare:

  • Sign consent and intake documents

  • Share basic personal and health information

  • Set up payment authorization

Cancellations & Rescheduling

  • 48+ hours’ notice required via text, phone, email, or portal

  • Late cancellations/no-shows: full session fee applies

  • Recurring appointments:

    • Up to two consecutive cancellations allowed within six months

    • Three in a row may release your reserved time

    • Repeated back-to-back cancellations may result in loss of your spot

  • Emergencies or illness: handled case-by-case with understanding

In-Person Wellness Policy

  • Stay home if sick or symptomatic—telehealth is available

  • Masks may be required if symptoms remain

  • 48-hour cancellation policy applies; exceptions considered individually

Additional Services & Estimates

  • Services such as letters, reports, or coordination calls may be billed separately, with prior notice

  • You have the right to request a Good Faith Estimate of charges before services

Finding the Right Path

We begin with a conversation to ensure the right approach. If another provider or service is a better fit, we provide thoughtful referrals and trusted resources.

Social Media & Digital Boundaries

  • We do not friend or follow clients on personal/professional accounts

  • Social media is for education and updates, not clinical communication

  • Do not share personal information online

  • Contact us directly via phone, email, or secure portal for care needs