Good Faith Estimate Disclosure

As part of our commitment to transparency and client-centered care, Dr. Segal will provide you with a Good Faith Estimate (GFE) of the anticipated costs associated with your treatment. This estimate is provided in accordance with the No Surprises Act (NSA) enacted by the U.S. Department of Health and Human Services. Upon request, we will provide you with a personalized Good Faith Estimate outlining the anticipated costs of your treatment plan. This estimate will include details such as session fees, assessment charges, and any other applicable expenses based on your specific treatment needs.

Factors Affecting Costs: The total cost of services can vary based on several factors, including (but not limited to):

  • Type and duration of sessions

  • Complexity of presenting concerns

  • Any additional assessments or evaluations required

  • Recommended frequency of appointments

Informed Consent: By engaging in services with our practice, you acknowledge receipt of this Good Faith Estimate and consent to the terms outlined here. Dr. Segal believes in fostering open communication and collaboration to promote your overall well-being and satisfaction with our services.