Patient Info & Forms

Paperwork for your First Appointment:

You may print out these two patient forms and bring them to your first appointment. If you have not filled them out ahead of time, please come in 10-15 minutes before your scheduled time. They will be waiting for you on a clip board in our waiting room. If you would like a copy of these mailed to you, please contact us.

Please bring the following to your appointment:

Payment Information:

* Insurance Plan Coverage:

Due to the on-going challenges of being a health-care provider within our current health system and seeking consistent reimbursement from private health insurance, Healing Pathway and Holly Hamilton are out-of-network for all insurance companies. We are sorry for this inconvenience and do understand your desire to utilize a healthcare program that you pay into.  By operating in a small clinic setting while giving patients extended personalized treatment times (compared to a traditional PT setting), our office is able to offer significantly lower out of pocket rates for our services.

If you would like to submit bills to your insurance carrier to try and receive out-of-network reimbursement you may let us know you desire a superbill at the start of your treatment. Note: Many plans require pre-authorization for PT services and in these cases, this option does not apply.

* Personal-Injury Coverage:

Motor Vehicle Accidents are the only insurance plans accepted with an active PIP. We will do all billing for you and no copay is required. A physician referral is likely needed.

* Self Pay:

All sessions are paid for in-full at time of service.  At our first evaluation session, we will discuss your goals and treatment plan so that it matches your financial capacity.

* Rates:

These out-of -pocket rates are set at a lower cost, with longer treatment times, than industry standards for 1 on 1 care with a Doctor of Physical Therapy

All Sessions are offered on a sliding scale. You may base this on your income and the intrinsic value of your session. You may pay after your session or you may request a link for prepayment (send an email to including the date and service you wish to pay for in advance). Services may be paid at time of service with cash, check or card.

  • New Patient Evaluation & Holistic Treatment Session (~90 min) : $130-$250
  • Follow-up Holistic Healing Session (60 minutes): $85-$195/ hour
  • Follow-up Holistic Healing Session (90 minutes): $125-$230 / 90 min

For Holistic PT & Bodywork packages, please aim to utilize them within 8 weeks. This is a good option for those committed to a treatment plan.  These may be paid for in advance or at the first session of the package.

  • Holistic Therapy Package (Four 60-min follow-up sessions): $370.00
  • Holistic Therapy Package (Four 90-min follow-up sessions): $490.00

See scheduling link for more details and to book a session!

Physical Therapy Services and Physician Referrals:

You do not necessarily need a referral from a physician to start Physical Therapy: In the state of Washington, patients may see a Physical Therapist with “direct access”.  Even if you do not have a script, we find that a team approach to wellness is invaluable, and we are happy to collaborate with your other health care providers (with a simple form to complete to allow practitioners to communicate).

* If you have a referral, please bring this with you to your initial appointment

Potential referring physicians can include: Medical Doctor (MD), Naturopath (ND), Chiropractor (DC), Osteopathic Physician (DO), Physicians Assistant (PA), Licensed Nurse Practitioner (LNP), Midwife (CNM) and Acupuncturist (LAc).

Cancellation Policy

Please contact us ASAP to reschedule your appointment.
You are expected to attend all of your appointments as we are reserving this time specifically for you. If you need to cancel or reschedule an appointment, please do so 24-hours prior to your appointment time. A $50 fee will be charged for sessions missed without such prior notification. This fee will be due prior to your next treatment. We understand there are occasional emergency situations and we appreciate your consideration of our time.  If ‘life happened’ and you did not cancel with adequate notice and want to remit a payment, there is a link to do so on the scheduling page.  

Release of Medical Records

Medical records are confidential information. During or after medical treatment, you may need to obtain your records. In order for us to release medical records we need a completed and signed Release of Records form. Thank you for understanding and appreciating our efforts to keep your information private.
I aim to provide the best continuity of care for all my current patients and past patients. For patients continuing PT with another provider, I am happy to consult with a future PT to guide a smooth transition of care. Our office may send along medical records to other providers upon request and a signed medical release form.

To obtain medical records please submit the completed release to: