You may also contact me by leaving a message on my secure business phone voicemail at (206) 339-9938.

You may also contact me via email. This my preferred communication.

If you want to know more about therapy services or are a current client you may email me at transform@crisalidahealing.com

If you are seeking clinical consultation, or supervision you may contact me at transform@crisalidahealing.com

If you are seeking information about about my research, teaching, or community projects you may contact me at transform@crisalidahealing.com

Please note, due to a high volume of emails, it generally takes until the following week of receiving your communication to respond.

Within my practice I aim to create an accessible space for healing in multiple ways tending to body, processing, movement, expressive, sensory access needs of individuals. I work from the position of Disability Justice as a foundation in my practice.

Accessibility means many different things for different folks. While I strive to create a physical space and processes that are as accessible as possible, it is difficult for people who may not have the same access needs or embodied experiences to get it all right, all of the time.

I acknowledge that accessibility needs are broad, depend on the individual, may also intersect with other identity and cultural needs, and may shift on a day to day basis, and shifting needs of the person.

I may not be able to meet all your accessible needs but I am committed to working with you to support your healing journey that is responsive to your access needs around disability, chronic illness, chronic pain, sensitivities, sensory, and executive functioning needs.

If you have accessibility needs, please contact me to discuss.

I do not speak Spanish fluently. However, I was raised within a multigenerational family of bilingual speakers and within a community whose first and primary languages are a regionally unique, colloquial dialect of Spanish and Indigenous languages specific to Northern New Mexico.

The Spanish I know and often use comes from the colonial history of Northern New Mexico that includes European Spanish, Arabic, Portuguese and code-switching idioms and dichos of Xicanx/Mexican-born people of mixed indigenous ancestry, and the language of my indigenous ancestors the Tlaxcalan peoples who spoke Náhuatl.

I understand and read Spanish better than I currently speak it and write it. I am limited in my clinical Spanish knowledge, but speak Spanglish and integrate my Nuevamexicana/Xicana colloquial Spanish in daily life.

I am deeply committed to re-centering the healing language of my Xicanx/Mestiza idioma herencia (language inheritance) and my ancestors. I am currently re-learning/re-membering the Spanish of my people and also my ancestor’s Indigenous language of Náhuatl.

For all my clients, I deeply encourage you to speak Spanish or what ever language is your first, primary, ancestor, heart language in session, even if I have limited understanding. I fiercely believe this is necessary to our healing to be able to access and utilize the languages and expressions that are ancestral, cultural, spiritually resonant, and embodied to support more meaningful healing, to access our full emotional landscape, and understand who we are in this journey.

I am located in Seattle, Washington. I am licensed to see clients who currently reside in and are present at the time of service in Washington state only.

At this time, all my services are currently offered primarily via Telehealth sessions.

In person sessions are reserved for EMDR intensives and expressive arts groups in Ballard.

My business mail address is 2400 NW 80th Street #530 Seattle, WA 98117.

Once you are an established client, you will be able to schedule your regular appointments through the Secure Client Portal.

For extended therapy sessions, group therapy sessions, case management or crisis appointments with me, you will need to contact me via secure messaging, phone or email to schedule. You must be an established client to access all service options.

My schedule is more fluid than some therapists in that I do not hold a particular day and time just for you. If there is a day and time that works best for you, you are able to schedule up to 3 months ahead to schedule this day and time (given my availability).

Typical session availability is on Sunday, Monday, Tuesday, Wednesday, Thursday from 10:00 am to 6:00 pm PST.

Please note if you do not schedule a standing time with me, available times are first come, first serve.

For existing clients go to the Secure Client Portal

Please contact me about current openings. If I have current opening, we can schedule a 20- 30 minute (no charge) consultation either via phone or video meeting.

Please call and leave a voice message at (206) 339-9938 and/or email me at transform@crisalidahealing.com

NOTICE OF PRIVACY PRACTICES

This notice went into effect on Effective January 1, 2019

THIS NOTICE DESCRIBES HOW HEALTH INFORMATION MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

I. MY PLEDGE REGARDING HEALTH INFORMATION:

I understand that health information about you and your health care is personal. I am committed to protecting health information about you. I create a record of the care and services you receive from me. I need this record to provide you with quality care and to comply with certain legal requirements. This notice applies to all of the records of your care generated by this mental health care practice. This notice will tell you about the ways in which I may use and disclose health information about you. I also describe your rights to the health information I keep about you, and describe certain obligations I have regarding the use and disclosure of your health information. I am required by law to:

• Make sure that protected health information (“PHI”) that identifies you is kept private.

• Give you this notice of my legal duties and privacy practices with respect to health information.

• Follow the terms of the notice that is currently in effect.

• I can change the terms of this Notice, and such changes will apply to all information I have about you. The new Notice will be available upon request, in my office, and on my website.

II. HOW I MAY USE AND DISCLOSE HEALTH INFORMATION ABOUT YOU:

The following categories describe different ways that I use and disclose health information. For each category of uses or disclosures I will explain what I mean and try to give some examples. Not every use or disclosure in a category will be listed. However, all of the ways I am permitted to use and disclose information will fall within one of the categories.

For Treatment Payment, or Health Care Operations: Federal privacy rules (regulations) allow health care providers who have direct treatment relationship with the patient/client to use or disclose the patient/client’s personal health information without the patient’s written authorization, to carry out the health care provider’s own treatment, payment or health care operations. I may also disclose your protected health information for the treatment activities of any health care provider. This too can be done without your written authorization. For example, if a clinician were to consult with another licensed health care provider about your condition, we would be permitted to use and disclose your personal health information, which is otherwise confidential, in order to assist the clinician in diagnosis and treatment of your mental health condition.

Disclosures for treatment purposes are not limited to the minimum necessary standard. Because therapists and other health care providers need access to the full record and/or full and complete information in order to provide quality care. The word “treatment” includes, among other things, the coordination and management of health care providers with a third party, consultations between health care providers and referrals of a patient for health care from one health care provider to another.

Lawsuits and Disputes: If you are involved in a lawsuit, I may disclose health information in response to a court or administrative order. I may also disclose health information about your child in response to a subpoena, discovery request, or other lawful process by someone else involved in the dispute, but only if efforts have been made to tell you about the request or to obtain an order protecting the information requested.

III. CERTAIN USES AND DISCLOSURES REQUIRE YOUR AUTHORIZATION:

1. Psychotherapy Notes. I do keep “psychotherapy notes” as that term is defined in 45 CFR § 164.501, and any use or disclosure of such notes requires your Authorization unless the use or disclosure is:

• For my use in treating you.

• For my use in training or supervising mental health practitioners to help them improve their skills in group, joint, family, or individual counseling or therapy.

• For my use in defending myself in legal proceedings instituted by you.

• For use by the Secretary of Health and Human Services to investigate my compliance with HIPAA.

• Required by law and the use or disclosure is limited to the requirements of such law.

• Required by law for certain health oversight activities pertaining to the originator of the psychotherapy notes.

• Required by a coroner who is performing duties authorized by law.

• Required to help avert a serious threat to the health and safety of others.

2. Marketing Purposes. As a psychotherapist, I will not use or disclose your PHI for marketing purposes.

3. Sale of PHI. As a psychotherapist, I will not sell your PHI in the regular course of my business.

IV. CERTAIN USES AND DISCLOSURES DO NOT REQUIRE YOUR AUTHORIZATION:

Subject to certain limitations in the law, I can use and disclose your PHI without your Authorization for the following reasons:

1. When disclosure is required by state or federal law, and the use or disclosure complies with and is limited to the relevant requirements of such law.

2. For public health activities, including reporting suspected child, elder, or dependent adult abuse, or preventing or reducing a serious threat to anyone’s health or safety.

3. For health oversight activities, including audits and investigations.

4. For judicial and administrative proceedings, including responding to a court or administrative order, although my preference is to obtain an Authorization from you before doing so.

5. For law enforcement purposes, including reporting crimes occurring on my premises.

6. To coroners or medical examiners, when such individuals are performing duties authorized by law.

7. For research purposes, including studying and comparing the mental health of patients who received one form of therapy versus those who received another form of therapy for the same condition.

8. Specialized government functions, including ensuring the proper execution of military missions; protecting the President of the United States; conducting intelligence or counter-intelligence operations; or helping to ensure the safety of those working within or housed in correctional institutions.

9. For workers’ compensation purposes. Although my preference is to obtain an Authorization from you, I may provide your PHI in order to comply with workers’ compensation laws.

10. Appointment reminders and health related benefits or services. I may use and disclose your PHI to contact you to remind you that you have an appointment with me. I may also use and disclose your PHI to tell you about treatment alternatives, or other health care services or benefits that I offer.

V. CERTAIN USES AND DISCLOSURES REQUIRE YOU TO HAVE THE OPPORTUNITY TO OBJECT:

1. Disclosures to family, friends, or others. I may provide your PHI to a family member, friend, or other person that you indicate is involved in your care or the payment for your health care, unless you object in whole or in part. The opportunity to consent may be obtained retroactively in emergency situations.

VI. YOU HAVE THE FOLLOWING RIGHTS WITH RESPECT TO YOUR PHI:

1. The Right to Request Limits on Uses and Disclosures of Your PHI. You have the right to ask me not to use or disclose certain PHI for treatment, payment, or health care operations purposes. I am not required to agree to your request, and I may say “no” if I believe it would affect your health care.

2. The Right to Request Restrictions for Out-of-Pocket Expenses Paid for In Full. You have the right to request restrictions on disclosures of your PHI to health plans for payment or health care operations purposes if the PHI pertains solely to a health care item or a health care service that you have paid for out-of-pocket in full.

3. The Right to Choose How I Send PHI to You. You have the right to ask me to contact you in a specific way (for example, home or office phone), or to send mail to a different address, and I will agree to all reasonable requests.

4. The Right to See and Get Copies of Your PHI. Other than “psychotherapy notes,” you have the right to get an electronic or paper copy of your medical record and other information that I have about you. I will provide you with a copy of your record, or a summary of it, if you agree to receive a summary, within 30 days of receiving your written request, and I may charge a reasonable, cost-based fee for doing so.

5. The Right to Get a List of the Disclosures I Have Made. You have the right to request a list of instances in which I have disclosed your PHI for purposes other than treatment, payment, or health care operations, or for which you provided me with an Authorization. I will respond to your request for an accounting of disclosures within 60 days of receiving your request. The list I will give you will include disclosures made in the last six years unless you request a shorter time. I will provide the list to you at no charge, but if you make more than one request in the same year, I will charge you a reasonable cost-based fee for each additional request.

6. The Right to Correct or Update Your PHI. If you believe that there is a mistake in your PHI, or that a piece of important information is missing from your PHI, you have the right to request that I correct the existing information or add the missing information. I may say “no” to your request, but I will tell you why in writing within 60 days of receiving your request.

7. The Right to Get a Paper or Electronic Copy of this Notice. You have the right get a paper copy of this Notice, and you have the right to get a copy of this notice by e-mail. And, even if you have agreed to receive this Notice via e-mail, you also have the right to request a paper copy of it.

You will need to sign an Acknowledgement of Receipt of the Privacy Notice

Under the Health Insurance Portability and Accountability Act of 1996 (HIPAA), you have certain rights regarding the use and disclosure of your protected health information. Once you are a client you will need to sign the Privacy Practices Notice for my clinical practice, acknowledging that you have received a copy of HIPAA Notice of Privacy Practices.

Current clients can access the Secure Client Portal HERE