A “Good Faith Estimate” in healthcare is an estimate of the cost for medical items and services. As mandated by the No Surprises Act (HR133, Title 45 Section 149.610) since January 2022, you have the right to receive a “Good Faith Estimate” to help you estimate the maximum expected charges for non-emergency items or services.

You are entitled to a “Good Faith Estimate” that outlines the anticipated cost of your medical and mental health care, including psychotherapy services. This estimate is particularly important for uninsured individuals or those not using insurance.

Before scheduling any service, you have the right to request a Good Faith Estimate from your healthcare provider or any other provider you choose. The estimate should detail the total expected cost of non-emergency healthcare services, including psychotherapy.

In the event that you receive a bill that exceeds your Good Faith Estimate by at least $400, you have the right to dispute the bill. Please ensure you retain a copy or take a picture of your Good Faith Estimate for reference. For further questions or information regarding your right to a Good Faith Estimate, please visit www.cms.gov/nosurprises.

Please review these policies to ensure a mutually beneficial therapeutic experience.

To ensure smooth scheduling, please notify me of any appointment changes at least 24 hours in advance. Late cancellations (less than 24 hours notice) or missed appointments may incur a fee. If you are running late, please be aware that your session may be shortened. Arriving more than 15 minutes late may result in the appointment being refused.

While I take precautions to comply with HIPAA requirements, please be aware that electronic communication (including text messages) may not guarantee confidentiality. Email or text messaging can be used for scheduling or cancellations, but therapeutic content and emergency requests should be discussed during a formal counseling session.

To maintain confidentiality and minimize dual relationships, I do not accept friend or contact requests on social networking sites from current or former clients. We can discuss any questions regarding this policy during our sessions.