Per the Federal “No Surprises Act”, you have the right to request a “Good Faith Estimate” of what the charges could be for the services provided to you. It is not possible for a therapist to know, in advance, how many sessions may be necessary or appropriate for a given person upon the initiation of therapy. Your total cost of services will depend upon the number of sessions you attend, your individual circumstances, and the type and amount of services that are provided to you. This estimate is not a contract and does not obligate you to obtain any services listed, nor does it include any services rendered to you that are not identified here. If you receive a bill at least $400 more than your GFE, you may dispute or appeal the bill.

For questions or more information about your right to a Good Faith Estimate, visit https://www.cms.gov/nosurprises.