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Crystal Salt

Getting Started

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** Get personalized therapy in the comfort of your home anywhere in Washington State.**

Secure and private telehealth therapy has become commonplace in the therapy field since the COVID pandemic hit. We can have therapeutic success by communicating safely and effectively from our homes and offices while saving time, money and stress. This seems particularly comforting in the perinatal time - who wants to go out for another appointment?

I use a user friendly and HIPAA compliant platform for all my booking, notes, payment and videoconferencing services, and you will have access to a patient portal.

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What are the first steps to starting counseling?

Click the link below to request your complimentary 30 minute initial consultation to determine if I’m the right fit for you.


You can also email me at to schedule your first appointment.


 Next Steps..


Log into the secure client portal to schedule your 30 minute complimentary consultation. We will confirm the time, and you will be sent the intake paperwork, including the credit card form. Once you receive confirmation, please complete all intake paperwork at least 24 hours prior to your consultation.

If you emailed or called the office, I will point you toward the secure client portal to finalize scheduling. Please fill out the paperwork and have it completed 24 hours prior to your consultation session or the session will need to be rescheduled. You will receive a reminder email 48-hours prior to the initial consultation time, so that reminder could also serve to remind you to fill out the paperwork if you haven't already completed it.

Initial consultation

Your initial consultation is an opportunity to meet Renée and discuss what brought you in for therapy. We will talk about what makes a therapeutic relationship unique, and to see if I am the right fit for your needs. By the end of the consultation, we will talk about our fit for therapy and hopefully schedule an appointment to start the assessment process.



During the first 1-3 sessions I will take you through an assessment where I take time to delve more deeply into what brought you into therapy, how your experiences have shaped who you are, and what changes you want to create in your life.

Getting to know you helps ensure that you and I are on the same page and ready to collaborate on your goals. You and I will work closely to create a set of specific goals for your therapeutic journey, as well as plan for how to achieve those goals.



Once you have completed the assessment phase, you will then meet with me regularly to work on the goals you have set. Therapy is the pathway to change that helps you feel better and engage more fully in life. 

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I am an out of network provider and will provide you with superbill that you can submit to your insurance if you would like to utilize your out-of-network benefits. There are also services like Reimbursify that can submit out-of-network claims for you for a small fee. While insurance coverage can help make therapy more accessible, it may also place limitations in the care you receive. To find out what your insurance policies are for reimbursement, contact your insurance company before therapy to answer these questions:


  • What is your deductible status?     

  • Do you need to have pre-approval for therapy? 

  • Are there any restictions like coverage amount​ per session?     

  • Are there a certain amount of sessions allowed?

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You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.

Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

  • Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

  • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

  • Make sure to save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit or call 1-877-696-6775.

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