Your Right to Receive a Good Faith Estimate of Expected Charges

Under the No Surprises Act, if you are uninsured or choose not to use insurance for your sessions, you have the right to receive a Good Faith Estimate of how much your therapy is expected to cost.

What this means for you:
• You can ask for a Good Faith Estimate before scheduling, and you'll receive one in writing.
• If you schedule a service, you'll receive a written Good Faith Estimate at least 1 business day before your appointment, or at least 3 business days before if the appointment is scheduled 10 or more business days in advance.
• Your estimate will include the expected cost of services for the coming year, based on how often we expect to meet.
• If you're billed at least $400 more than your Good Faith Estimate, you have the right to dispute the bill.
• Keep a copy of your Good Faith Estimate for your records.

Fees:
Individual therapy session (50 minutes): $170
Free 15-minute consultation: no charge

The number of sessions varies for each person. We'll talk together about what makes sense for you, and you can ask questions about cost at any time.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059.