Good Faith Estimate for Health Care Services

Per the No Surprises Act, which went into effect on January 1, 2022, you have the right to a Good Faith Estimate of the costs of services that we may provide to you.

The length of treatment is highly variable based on individual circumstances. No two cases are alike and therapy is customized to each client’s unique needs. We are providing an estimate based on what we believe could be a possible course of treatment for you. Your actual treatment could vary by the total number of sessions and/or the length of your sessions. These differences would lead to a different total cost. This estimate also does not include any emergency, unknown, or unexpected costs that might arise during treatment.

If you believe you have been billed in a way that is inconsistent with a Good Faith Estimate, you have the right to discuss it with your provider and potentially dispute it.

Please read the information in the Good Faith Estimate Form carefully. If you have any questions or concerns, please discuss them with us before you begin treatment. You also can visit or call the Clinical Director, Elizabeth Sloan, LCPC, LPC, for more information.