Good Faith Estimate

Your Right to a Good Faith Estimate

Under the No Surprises Act, you have the right to receive a Good Faith Estimate explaining how much your medical and mental health care will cost.

This estimate is for clients who are not using insurance, are uninsured, or are paying out of pocket for psychotherapy services.

My Current Fees

• Individual Therapy: $225 per 50-minute session

• Couples Therapy: $250 per 50-minute session

Longer sessions (if scheduled) will be prorated based on the hourly rate.

What to Expect Financially

While the total cost of therapy depends on the number of sessions you attend and the length of your treatment, here is a sample estimate of what your care might look like:

Sample Estimate – Individual Therapy

Service: Individual Psychotherapy
Rate: $225 per session
Frequency: Weekly (approximately 4 sessions/month)
Duration: 6 months
Estimated Total Cost: $5,400

Sample Estimate – Couples Therapy

Service: Couples Therapy
Rate: $250 per session
Frequency: Weekly (approximately 4 sessions/month)
Duration: 6 months
Estimated Total Cost: $6,000

Note: These are estimates. The actual number of sessions may be more or fewer depending on your progress and goals.

What’s Included

This Good Faith Estimate includes:

• Fees for psychotherapy sessions

• Estimated total costs based on your treatment plan

It does not include:

• Fees for late cancellations or no-shows (see your informed consent for details)

• Additional services or reports, unless discussed and agreed upon in advance

Acknowledgment

You will receive a personalized Good Faith Estimate before your first session. You may request an updated estimate at any time.

By entering therapy, you acknowledge:

• This is only an estimate

• Your actual costs may vary

• You are free to pause or end therapy at any time

Have Questions?

I’m here to support you. If you have any questions about your estimate or payment options, feel free to reach out.

Need a Copy?

A copy of your Good Faith Estimate will be:

• Provided at intake

• Available upon request at any time