Good Faith Estimates (No Surprises Act)
Under the law, health care providers need to give patients who don’t have insurance or who are
not using insurance an estimate of the bill for medical items and services. A Good Faith Estimate shows the costs of items and services that are reasonably expected for your health care needs for an item or service. This estimate is based on information known at the time the estimate was created. Please be advised, your fee may change depending on the number of sessions you actually attend. Services outside of standard therapy may have an associated extra cost.
Please refer to our Intake Policies and Procedures form for a complete list of services and associated fees. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
For questions or more information about your right to a Good Faith Estimate or the dispute process, visit www.cms.gov/nosurprises or call 877-696-6775.