Appointments are $140 for a 55 minute session. Payment, or insurance co-payment, is due at the beginning of each appointment.

Other fee and payment arrangements can be made. Please contact me directly to discuss these options.

I am an in-network provider with Premera, First Choice, Kaiser PPO and Regence.

For all other insurance our sessions might be covered as an out-of-network provider. Most insurance offers mental health benefits and I'm happy to help you understand how your insurance can be applied to our work together.


Please call or email me to set up an initial consultation at 206-459-3690 or sarah@sarahlpalmer.com. There is nothing to fill out or complete ahead of this meeting. Once we've had a chance to talk I will email you a link to my new client forms.