Links to our Practice Forms

Reduced Fee Application/Agreement if you do not have insurance and are not eligible for Medicare/Medicaid programs.

Disclosure statements are required under Washington state law and our professional ethics codes so that you are informed about (among other things) the education and experience level of the therapist you are choosing, what forms of therapy they practice and what psychological theories they believe contribute to our understanding of how people grow and change, and also about your rights- such as your right  to confidentiality and what the limits of that confidentiality are (such as when your therapist has an imminent concern about safety). 

Disclosures also provide information about what the cost of services/fees are and how payment is received, and steps to take and contact information if you believe your therapist has violated a legal or ethical expectation. 

It is important to understand the information in the disclosure statement before starting treatment.  Please feel free to ask any questions about this information at any time.  The disclosure statements of all of our therapists will remain posted on this page for your review at any time, and a paper copy of your disclosure statement will also be provided to you at your request.

Marsha Jones                Individual     Family

Jason Richards              Individual

Kendra Pinkelman       Individual

Angi Morse                    Individual     Family

Katie Weaver                 Individual     Family

Stephanie Carl              Individual      Family

Anthony Shipman        Individual

Meara Harrington        Individual      (Family coming soon)

Additional Informed Consent for Telehealth

Common Situations When Your Information is Shared 

  • With your insurance company or Employee Assistance Program (not your employer) to bill for payment of services or the insurance company audits our files to make sure we are providing covered services in accordance with their policies and expectations.
  • With other health care professionals you are in treatment with, so that your services can be coordinated with your health care team to provide better care
  • For minors age 13 and above, providing information about payment for services and appointment scheduling and transportation.  See your therapist's disclosure statement for specific information about treatment for minors and the age of consent for treatment in Washington state.
  • In consultation or supervision of your services with other professionals in our organization who are also bound by confidentiality laws and ethical codes.

Your privacy is important to us.

​It is impossible to provide quality mental health care in the absence of a clear understanding of your right to confidential services.  On this page, you can find information about how your health care information is protected and can be accessed by you and any other individual or organization.

Read our full Notice of Privacy Practices

Links to more information

U.S. Department of Health and Human Services:  This federal government website provides videos and info sheets that describe your health care information privacy rights in detail. 


All rights reserved.  Copyright 2021 Building Skills, LLC 

Requests for Records

For Clients:  ​  ​

You always have the right to review your personal health record and you will regularly collaborate with your therapist about your goals for treatment and your progress.  Please feel free to ask your therapist to review your file with you and we will provide a copy of any document at your request.  We will also communicate with you about any requests for information about you from a third party (like your PCP)- even if you signed a release of information form.

For Health Care Providers:

We value teamwork and welcome coordination of care and collaboration requests from other health care professionals.  Please fax Release of Information forms to 425-367-0550 and let us know how we can work together to support our client's health.  


Privacy Officer:  Marsha Jones

Phone:  425-350-2434

Fax:  425-367-0550

6320 Evergreen Way, Suite 201

​Everett, WA 98203