At The Pelvic Health Clinic, our team of providers believe you are as integral to your healing process as we are. We believe you are your own best health advocate. We consider our relationship a partnership rather than a ‘we say, and you do’. Our goal is to partner with you to resolve your concerns and equip you to manage your health beyond our work together.

 
 
 

“I felt safe and listened to. The practitioner’s skills and professional knowledge mixed with the warm environment put me at ease.” - Received from a patient 2023

“The treatment and help I received has been so useful. I have been seeing improvements after just three visits.” -Received from a patient 2023

“I felt I was in a safe place to address my body issues for the first time in a long while.” -Received from a patient 2023

“The Pelvic Health Clinic has been a life changer for me. Dr. Fiacco has been able to help me with the chronic pain I've had for years, since the birth of my twins. She was able to quickly diagnose what numerous doctors and tests had been unable to for years. Dr. Fiacco is very gentle and patient and has so many ideas for different exercises or routines to continue your therapy at home, between sessions. She will find the root cause of your issue and figure out the best treatment to help you. Do yourself a favor and schedule an appointment.” Received from a patient Sept 2022

Our treatment may incorporate any or all of the following:

 
 

Therapeutic Somatic Processing™

A healing process that recognizes many patterns of pain are multifaceted and can stem from causes other than injury or disease. We address these pain patterns through a process that recognizes the body as a key source of information about your restrictions or pain.

Pelvic Health Physical Therapy

Utilizing expertise in anatomy, movement, and manual therapy skills, we use a trauma-informed approach to care to address common pelvic concerns or pain. We strive to do this while considering all concerns from a holistic lens which includes determining if patterns of sleep, diet, relationships, stress, or other life factors impact your concern.

 
 

Sexual Health

Pelvic concerns often coincide with matters related to sexual libido, desire, or intimacy. They relate to one another such that they each require individual attention, but in an integrated manner. We utilize our expertise surrounding sexual wellness to accomplish this.

What to Expect

We value treating each person uniquely, therefore appointments are always individualized. Sometimes there may be a physical exam, sometimes a session where we are just talking. Either way, your provider will always include you in the plan of care, and want to hear your opinion on what feels in your best interests.

 
 

Clinic Service Pricing

We are not in the insurance game because insurance dictates too narrowly what is best for you, and only you know what is best for you. We want to see you get better and not need us, that is a goal that insurance cannot dictate.

Pelvic Floor Physical Therapy Pricing is as follows:

  • $245 for initial evaluation/treatment (55 minutes)*

  • $190 per treatment session (55 minutes)*

*Please note our rates are increasing April 1, 2024 by $10. Initial Evaluations will then be $255, and follow treatment sessions will be $200.

Appointments with Dr. Serena Fiacco:

Dr. Fiacco has shifted her practice to focus on her unique methodology of Therapeutic Somatic Processing,™ a blend of somatic (mind-body connection) and pelvic floor therapies. She is available for traditional pelvic floor physical therapy evaluations and/or consultations, however does not practice regular follow-up care consisting of traditional manual therapy to the global body or pelvic floor. All appointments with Dr. Fiacco are 90 minutes at $300.

Payment is collected at the time of your appointment via exact cash, check, or credit card.

If you are in need of financial assistance, please inquire about Sliding Scale options, or our Pay What You Can Program.

$100 for any cancellations with less than a 48-hour notice, regardless of need for cancellation.

For no-shows without notice, you will be charged the full rate of the type of appointment scheduled.

Please call 206-527-2800 or email info@pelvichealthclinic.com at least 48 hours ahead of your appointment to notify us of any reschedule or cancellation needs.  To cancel a Monday appointment, please call our office no later than 3pm Friday. 

 
 

WA State is a direct access state for Physical Therapy. This worksheet is provided for you to determine your possible out-of-network reimbursement, via Superbill*, without need for physician referral. Plans vary and may require a pre-authorization for reimbursement.

*Superbill = An itemized healthcare receipt which details the diagnosis codes and services used when treating a patient. Your insurance company uses this document to determine your rates of reimbursement for out of network services.