"Right to Receive a Good Faith Estimate of Expected Charges” Under the No Surprises Act

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Thank you for choosing to participate in mental health counseling services. We want to make sure you have all the necessary information before beginning treatment. As part of this process, we would like to provide you with an informed consent for your right to receive a good faith estimate of expected charges for mental health counseling.

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Overview of Treatment

Mental health counseling involves meeting with a mental health professional to address personal and emotional concerns. Treatment may include individual, couples, or family counseling, as well as group therapy sessions. The goal of counseling is to work together to improve your overall mental health and well-being.

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Expected Charges for Treatment

As a mental health counseling client, you have the right to receive a good faith estimate of expected charges for your treatment. This means that prior to beginning treatment, you will be informed of the expected costs for your sessions, including any fees for missed appointments or other services. We will also inform you of any anticipated changes to the cost of your treatment, such as a change in your insurance coverage or changes to our fees.

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Your Rights as a Client

As a mental health counseling client, you have the right to ask questions about the expected charges for your treatment and to receive a good faith estimate of those charges. You also have the right to be informed of any changes to the cost of your treatment and to receive an updated estimate if necessary.

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For more information, please ask your mental health counselor.