Good Faith Estimate Notice

A Good Faith Estimate is a written estimate of expected charges for healthcare items or services. It is based on information known at the time it is created and is intended to help uninsured or self-pay clients understand expected costs before receiving services.

If you do not have insurance or choose not to use insurance to pay for services, you may request a Good Faith Estimate before scheduling or receiving services. You may also receive one when services are scheduled in advance, depending on timing and applicable requirements.

The estimate reflects expected charges based on information available at the time. Actual services may vary depending on clinical needs, session frequency, changes in treatment goals, cancellations, referrals, or additional services requested.

If your final bill is substantially higher than the Good Faith Estimate, you may have dispute rights under federal law. Federal resources currently describe a dispute threshold of at least $400 more than the estimate, but requirements and procedures should be checked using current official guidance.

Contact the practice if you have questions about fees, estimates, or payment before scheduling services.