Starting care

A clear beginning.

From your first request to an individualized treatment plan.

01

Request care

Use the CharmHealth appointment pathway to share the care you are seeking. Your information stays in the practice’s secure patient workflow.

02

Receive confirmation

Requests are reviewed for clinical fit. A confirmed appointment and the next steps come from the practice. Sending a request alone leaves the appointment pending.

03

Prepare for your visit

Follow your portal invitation, complete assigned forms, and review consent and financial information. Bring a medication list, relevant records, questions, and your goals.

04

Begin with a psychiatric evaluation

Every appointment is with me. We explore your concerns, discuss clinical impressions, and identify next steps.

Before you arrive.

In-person visits take place by appointment in downtown Chehalis. Text on arrival for building entry. Telehealth is available in Washington, Oregon, Alaska, Idaho, and Utah, when clinically appropriate. Your physical location and the requested service are confirmed before care.

Find the officeFees + insurancePrepare for telehealth

Questions before starting care.

Will the first visit include a prescription?

Medication recommendations follow an individualized clinical assessment. The first visit may lead to prescribing, further information gathering, therapy recommendations, or a combination of next steps.

Can I receive care while seeing another therapist?

Yes, when the arrangement fits your clinical needs. With appropriate permission, coordination can help align psychiatric care with your existing treatment.

What if I need help right away?

Messages and appointment requests are reviewed during practice availability. For immediate danger, call 911. For immediate emotional support, call or text 988. Veterans can call 988, then select 1.

uno you.

Your experiences.
Your priorities.
Your next step.

What to expect