Disclaimer
Starting January 1, 2022, Federal law requires mental health providers to provide an estimate of costs of services to private pay clients known as a "Good Faith Estimate".
This Good Faith Estimate shows the costs of services that are reasonably expected for the expected services to address your mental health care needs. The estimate is based on the information known to me when I conduct the estimate. When we meet, my initial intake process typically takes 1-2 sessions during which we we formulate a treatment plan based on your diagnosis, current functioning, current stressors, and systemic stressors, which will help guide a more informed plan for our therapy.
The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances occur. If this happens, I will give you a new estimate for services.
This Good Faith Estimate is not a contract. It does not obligate you to accept the services listed above. The information provided in the Good Faith Estimate is only an estimate, as actual items, services, or charges may differ.
To learn more and get a form to start the process, go to:
www.cms.gov/nosurprises or call CMS at 1-800-985-3059.
For questions or more information about your right to a Good Faith Estimate or the dispute process, visit:
www.cms.gov/nosurprises or call CMS at 1-800-985-3059.