Your Right to a Good Faith Estimate

Who this applies to

A Good Faith Estimate (GFE) is for clients who are uninsured or who choose not to use insurance (self-pay). If you are using insurance that I am in-network with, your out-of-pocket cost is determined by your insurance benefits, not by the estimate described here — see the Insurance & Fees page for in-network details.

What the estimate includes

Your GFE will include the expected charges for services I reasonably anticipate, based on a typical course of outpatient therapy. Rates are listed below and on the Insurance & Fees page.

The total estimate depends on how many sessions you and I expect. For ongoing weekly therapy, the estimate reflects a typical cadence; actual frequency and duration are decided collaboratively and may change.

How to request an estimate

Under the law, I must provide a written GFE:

• When you schedule a service at least 3 business days in advance.
• Any time you ask for one, even if you are not yet scheduled.

To request an estimate, call (984) 234-5500 or send a message through the contact form. I will provide your estimate within the timeframes set by federal law.

Your right to dispute a bill

If you receive a bill that is at least $400 more than your Good Faith Estimate, you have the right to dispute the bill through the federal patient-provider dispute resolution process. You have 120 calendar days from the date of the original bill to start a dispute. Starting a dispute will not affect the quality of care you receive.

Learn more

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