Good Faith Estimate Notice

Under the No Surprises Act, healthcare providers are required to provide clients who are uninsured or not using insurance with a Good Faith Estimate of expected healthcare costs.

You have the right to receive a Good Faith Estimate explaining the anticipated cost of your mental health care services.

A Good Faith Estimate will include:

Expected therapy fees

Frequency of sessions (when appropriate)

Estimated total costs

You may request a Good Faith Estimate before scheduling services or at any time during treatment.

For questions or to request a Good Faith Estimate, please contact:

Katie Nasherson, LCSW
Rebuild & Grow

P.O. Box 1202
Kingston, NY 12402

katienasherson@gmail.com

For more information about your rights under the No Surprises Act, visit: Centers for Medicare & Medicaid Services