First Responders
First Responders & Healthcare Workers
The work is heavy. Getting help for it shouldn't be.
The Field Rate · Always
$250 Initial Evaluation · $155 Follow Ups
The Field Rate is how we give back. You embody the values this practice was built on — showing up for others in hard terrain — and we believe it’s our duty to show up for you in return. Thank you for what you do.
Who This Covers
If your work carries other people's worst days, this rate is for you.
- Firefighters, career and volunteer
- Paramedics and EMTs
- Law enforcement
- 911 dispatchers
- Corrections officers
- Military and veterans
- Search and rescue
- Nurses and hospital staff
- Physicians and APPs
- Wildland fire crews
Work outside instead? Guides, ski patrol, rangers, and other outdoor professionals get the same Field Rate on their own page.
What We Work On
Medication management and therapy, trauma informed from the first visit.
- PTSD and critical incident stress
- Hypervigilance and the "always on" nervous system
- Sleep problems and shift work disorder
- Burnout and moral injury
- Depression and anxiety
- Anger and irritability at home
- Alcohol and substance concerns, without judgment
- Relationship strain and coming home after deployment
Questions Responders Actually Ask
Will this show up anywhere my department can see?
Your record here is a confidential medical record held by our practice, protected by HIPAA and Washington law. We release information only with your written permission or in the narrow situations the law requires.
When could you share my information without asking?
Only in the narrow situations the law requires. If we believe someone is in real danger, the law expects us to act. We're required to report suspected abuse of a child or a vulnerable adult. And a judge can order records released. That's the honest list. Ask us about any of it before you book and we'll give you a straight answer.
What about fitness for duty concerns?
Getting treatment on your own is different from a fitness for duty evaluation, and seeking care voluntarily is generally seen as a strength. If you have concerns about your agency, license, or clearance, bring them to the first visit. We'll talk it through before anything goes in the plan.
I'm not in crisis. Is this still for me?
Especially then. Most of what we treat builds quietly over years of calls. Sleep that never fully recovers, a shorter fuse at home, feeling flat off shift. Treating it early is faster and easier than waiting for the wheels to come off. If you are in crisis right now, call or text 988, or reach Code 4 Northwest, a confidential resource run by and for Washington first responders.
Does the rate apply to my family?
Yes, through our Family Rate. Every additional member of your household gets the same numbers you do: $250 evaluations and $155 follow ups.
Peer support team, union local, or wellness coordinator? We offer free psychoeducation sessions for crews on sleep, hypervigilance, and stress physiology. No sales pitch. Get in touch.