Good Faith Estimate

NO SURPRISE ACT NOTICE 

Your Right to a 'Good Faith Estimate'

You have the right to receive a ‘Good Faith Estimate’ explaining how much your care may cost.

Under the law, providers need to give patients who do not have insurance, or who are not using insurance, a cost estimate of the bill for medical items and services.

  • You have the right to receive a ‘Good Faith Estimate’ for the total expected cost of any non-emergency items or services. This includes related costs like evaluations and session fees. 
  • Your provider must give you a ‘Good Faith Estimate’ in writing for scheduled services within designated timeframes. You can also ask your  provider for a ‘Good Faith Estimate’ before you schedule an item or 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 1-800-985-3059.

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Contact Us

LOCATION

Availability

Some Evening and Weekend appointments are available upon request with select therapists.

Office Hours

Monday:

9:00 AM-5:00 PM

Tuesday:

9:00 AM-5:00 PM

Wednesday:

9:00 AM-5:00 PM

Thursday:

9:00 AM-5:00 PM

Friday:

9:00 AM-5:00 PM

Saturday:

Closed

Sunday:

Closed