Online Therapy
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Telehealth Preparation for Clients

Your provider has sent you here to help you get your space and your tech set up before your first online session (or maybe not your first!) The information below should help you figure out what to do.


You’ll be using an App called Spruce for telehealth / video therapy sessions.  You might be eager to download Spruce right now, but wait for your provider to send you an invite to join Spruce to your phone via text. At that point, you’ll be directed to download the Spruce app on your phone.  For more information about using Spruce as a client, click on this link here. If you are having trouble joining Spruce when your therapist invites you, click here for more information for troubleshooting.  


All of the insurances we accept will pay for tele-health. Blue Cross / Blue Shield / Regence is the only exception; it depends upon your specific plan. To find out if your plan covers it, we encourage you to use this insurance form as a guide to calling your insurance company to find out for sure. Click here to access it. Then you can submit it to our admin team so we have your information on file for your sessions.

Creating Confidential Space

Things to consider:

  • Is the space private?
  • Can you lock the door? 
    • If not, will others who have access to the space respect your request for privacy and not enter the room?
      • Can you/have you had a conversation with them?
      • Were they receptive? 
  • Can others outside the room hear you talking?
    • If so, can you create white noise with a fan or other form of background noise? (Preferably placed outside the doorway of the room you’re in)
    • Consider using headphones or earbuds so that your provider’s voice is kept private and is only hearable by you

If you have a hard time finding confidential space, here are some examples that others have used. These are not ideal, but should be considered secondary choices if an ideal setup is not available. If you use any of these, please make sure that the space is comfortable to you. Being comfortable is also highly important.

  • Laundry Room
  • Walk-In-Closet
  • Basement
  • Attic
  • Actual last resort: your car parked in a safe, private spot. (We want to emphasize that private does not mean secluded. Please do make sure you are in a safe location.)

Technical Setup

  • A laptop or desktop computer are ideal — preferably the biggest screen size that you have available to you (that you can also have in a comfortable, confidential space) 
  • If you’re using a tablet or phone, please prop up the device so that it is stable and that the camera is about level with your eyes
  • Whatever device you’re using, please make sure that the camera is about level with your eyes. It may require propping up your device or monitor on other items, such as books.
  • Please make sure that you’re well lit and don’t have a bright light source directly behind you

If you have any other questions about online therapy, feel free to ask your provider.