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GOOD FAITH ESTIMATE NOTICE

You have the right to receive a “Good Faith Estimate” explaining how much your medical care, including mental health care, will cost. 

Under the law, healthcare providers need to give patients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services. 

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services. 

You can ask your clinician, for a Good Faith Estimate before you schedule a service. 

If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate.

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

HIPAA PRIVACY RULES
This website is not “HIPAA-compliant.” To assure compliance with the health data privacy and storage guidelines set forth by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), no Protected Health Information (PHI) is to be communicated via this website, uploaded or otherwise stored on this website, or sent by unsecured email or other unsecured electronic means. Protected Health Information should only be handled, stored, communicated, or exchanged with this healthcare provider by an approved method, by telephone or in person.
Please note that I use a HIPAA-compliant email and phone number. 

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