Good Faith Estimate Notice

You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost.

 

Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services.

 

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services.

 

You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a 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 (800) 985-3059.

Your free confidential consultation includes:

  • Personalized matching process to ensure you’re paired with the right therapist from the start
  • Free 30-minute consultation with your therapist prior to your first appointment
  • Ongoing support from our team to ensure you have everything you need to make therapy a success

 

Please note this form is not encrypted communication. If you have any concerns about your privacy, please contact us via telephone by calling (503) 941-0856. We will respond to your inquiry within 48 business hours.

We're ready to listen.

We will respond to your inquiry within 48 business hours.



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