Policy and Procedures - Adult Client

In order to reduce confusion and misunderstanding between our clients and Rock Therapeutic Services, we have adopted the following policies. If you have any questions about the policies, please discuss them with the clinic director, Adrienne Rock, or the Office Manager, Todd Storch. We are dedicated to providing you with the best possible care and service and regard your complete understanding of these responsibilities as an essential element of your care and treatment.


  • Rock Therapeutic Services is currently a preferred provider in the Premera, Regence, Aetna, Cigna, First Choice, Molina, and Kaiser-PPO insurance networks. Please refer to your benefits handbook or contact your insurance company to determine whether or not speech-language therapy is a covered service.
  • Rock Therapeutic Services may verify the client’s benefits as a courtesy. Quoted benefits are not a guarantee of benefits, the client is ultimately responsible for verifying their own insurance benefits.
  • Rock Therapeutic Services will submit insurance claims to the insurance company on the client’s behalf.
  • Not all of Rock Therapeutic Services are covered by insurance. Meetings, consultations, and absences that do not conform to our cancellation policy are not covered services and will not be billed to insurers.
  • Insurance claims can take 2-4 weeks to process. Rock Therapeutic Services will send you a monthly invoice for all remaining Patient Liability as shown on the Insurance Explanation of Payment.
  • Payment is expected within 30 days of the invoice date. After 30 days the account is subject to collections.
  • Please note that co-payment and cash payer fees are due at the time of service.
  • We currently accept cash, check, Visa, Mastercard, and American Express. Please make checks payable to Rock Therapeutic Services. There will be a $34.00 service fee for all returned checks.
  • The client is ultimately responsible for all charges of rendered services. If the insurance company determines that the services are not a covered benefit the client will be billed as a Cash Payer.
  • If the client fails to disclose that they have a secondary or tertiary insurance plan, whether commercial or medical plan, they are responsible for all charges of rendered services not covered bu the primary insurance.
  • Provider One/ Apple Health Clients - Rock Therapeutic Services does not submit claims to provider one or Apple Health or one of their managed care plans (except molina ) By signing this form you agree to pay out of pocket for all services rendered.


  • Call office for more information.


  • Non-Emergency: 24 Hours Notice This includes anything that is not designated by “emergency “ (see below) such as pre-planned doctor appointments, family events, parties, etc. The session must be canceled with 24 hours notice or it will be subject to a $75 fee. If cancellations become excessive for non-emergency purposes, then the client may lose his/her weekly slot in the therapy schedule.
  • Emergency: Cancel by 10am Emergency cancellations are due to client illness, illness of a family member, or other unforeseen circumstances. These sessions must be canceled by 10am on the day of therapy or it will be subject to a $75 fee.
  • Inclement Weather: Cancel by 10am When a storm is expected, or the roads are dangerous the office usually closes. It is understood that some clients may live far away, and while the office may not be closed, you may choose to stay home with your child. In this case you must follow the procedure for EMERGENCY cancellations and call by 10am that day if you think you would prefer not to travel or you may be billed a $75 fee.


When you register for therapy, you will fill out an Allergy/ Diet Restrictions form. This form is kept in your file which is present during every therapy session. It is crucial for every client to have this form filled out even if you have no allergies. If you have food preferences or diet restrictions please make sure this is noted on the form. If you have not filled out this form or need to make changes please do so as soon as possible.


  • Other professionals, therapists, etc. are welcome to observe our therapy. We do ask for notice if someone other than family wants to observe.
  • If you would like a formal report written about your therapy, please ask your therapist via email or in writing. Please allow 2 weeks for this report to be completed. If you would like the report to be sent out to other professionals please indicate that in your request.


  • Rock Therapeutic Services will keep all personal, medical, and insurance information confidential. Client information will only be released upon receipt of a signed and dated Healthcare Information Release form. Consent for a release of information may be withdrawn by the client at anytime with a written notice signed by the client.
  • A copy of all evaluation and progress reports will be given to clients, family, or guardians as appropriate. Additional copies will be distributed to those persons with authorization based on the Healthcare Information Release form on file.
  • If a client has requested that their insurance company be billed for therapy services, information will be shared with the client’s insurance company as needed to submit claims for services provided, as well as other information requested by the insurer to determine eligibility, benefits, and claim status.
  • We may communicate with clients via email, phone and mail.


The following forms must be reviewed and completed prior to therapy services:

  • Registration
  • Adult Case History
  • Consent for Private Therapy
  • Allergy/Diet Restriction
  • Referral from your physician, if required

In addition, copies of current evaluations, re-evaluations, physician reports, and progress reports are helpful in therapy planning and may be required by insurers.


If you change your insurance, address, phone number or e-mail please let our staff know. We will update your file immediately.

We can be contacted by phone: 425.358.7160 or by email: This email address is being protected from spambots. You need JavaScript enabled to view it. as needed.

Policy and Procedures Adult

Invalid Input

Invalid Input
Patient’s Name (*)

Invalid Input

Invalid Input
Date (*)

Invalid Input
Captcha (*)
Invalid Input