Ed Park, M.Div., LMHC

Disclosure Statement: The statement below provides you information about myself as a provider and the treatment I offer to assist you in choosing the treatment and the provider who best suits your needs.

Education and Training

I completed my undergraduate work (BA) in Philosophy at the University of Washington and hold a Masters in Divinity from Western Seminary. I have received additional training in psychoanalytic psychotherapy and am certified in post-induction treatment for co-dependency from The Meadows (Scottsdale AZ).

Certifications

I am a Licensed Mental Health Counselor in the State of Washington
License: LH60789532

My Approach

My work with adults, is based on the observation that individuals are often unaware of the factors that determine their feelings and actions, and that this restricts their abilities to fully understand or work through the difficulties they are experiencing.  Psychotherapy is a partnership through which the client becomes aware of the underlying sources of his or her difficulties which can remove symptoms, ease cramped and stuck life patterns and expand the freedom to work, love, form meaningful relationships and be happy and productive.

Likewise, my work with children and adolescents, helps restore a their normal path of continuing psychological development and maturity which distresses can affect and help the child/adolescent develop coping mechanisms which promote healthy development.

My work with couples and marriages is based on the observation that they are often unaware of many of the factors that contribute to their relationship unhappiness and to their difficulties in resolving it.  My goal is to create an opportunity for the couple to learn more about the sources of their conflicts as well as more fully understand the feelings and experiences associated with their conflicts.  Over time, the couple can learn valuable insights about themselves and their partners in the course of which the relationship can find expression with less interference.

Appointments and Cancellation Policy

Appointments are for 50 minutes per session. Longer sessions are available on the scheduling page. A regular time will be established for each session. In the event that you are unable to keep an appointment, please notify me three days (72 hours) in advance. If you miss your appointment for whatever reason, and fail to give me adequate notice, you will be responsible for the full fee of the session. If you arrive late, the session will not be extended. When you wish to terminate treatment, please give one week’s notice.

Session Fees and Insurance

50 minute session ($195)
90 minute session ($262.50)
120 minutes session ($390)

I use a third-party HIPPA compliant financial service called Ivy Pay to collect payment. The fees for counseling are to be paid at the end of each session. I accept cash and checks and credit cards. At this time, I do not bill insurance directly, but some clients submit billing statements to their health plans to seek reimbursement. I am happy to provide these billing statements by request. You will need to check with your insurance company to determine your coverage. Some insurance companies will reimburse for therapy, and some will not.

Electronic Payment Authorization

In an effort to better serve my clients and simplify your billing experience, I offer electronic payment options, enabling you to pay for sessions with credit card, debit card, Health Savings accounts and Flexible Spending accounts. Your information is secure. No one, including myself will ever see or have access to your account information. All sensitive, confidential information is managed and seen by you only. By signing this form, you consent to Sanctuary Counseling’s use of Ivy Pay to process your credit, debit, FSA or HSA card.

Ivy Pay is designed specifically for psychotherapists and their clients, and is fully HIPAA secure. Charges will appear as Ivy transactions. Ivy Pay was designed to uniquely support the therapeutic relationship. Among the ways that small business can accept credit cards, Ivy Pay is the only way to protect patient privacy under HIPAA, and hold the therapeutic relationship in confidence. There is no surcharge for paying electronically. Transaction fees are not passed on to you as the client.

Confidentiality

I am bound by my professional ethics to protect client rights to confidential communications in regard to their involvement in psychotherapy. For this reason, if you want me to release information about your participation in therapy to anyone, I will require your signed “Release of Confidential information"“. This confidentiality has the following exceptions provided by law per RCW 71-05-390

1) you have given written consent; 2) there is clear and concrete evidence of planned or committed acts of violence; 3) if you are a minor and have been the victim of a crime; 4) you bring charges against your therapist; 5) your therapist is required to report child or dependent adult abuse or neglect. In addition, many personal insurance plans require clients to give permission for access to their clinical record as a condition of applying insurance benefits.

Each client has the right to refuse treatment at any time.

Notice To Counseling /Psychotherapy Clients in the State of Washington:

As required by RCW 18.19.060, this will inform clients of certified or registered counselors in the State of Washington that they may file a complaint with the Department of Health t any time they believe a counselor has demonstrated unprofessional conduct. Counselors practicing counseling for a fee must be registered or certified with the Department of Heath for the protection for the public health and safety. Registration of an individual with the Department does not include recognition of any practice standards, nor necessarily imply the effectiveness of any treatment. Questions or complaints may be directed to:

Washington State Department of Health, Business and Professional Administration, PO Box 9012, Olympia WA, 98504-8001, (360) 236-4700.

*20221205-195