Good Faith Estimate
You have the right to receive a "Good Faith Estimate" explaining how much your medical and mental health care will cost.
Under the law, health care providers need to give patients who don't have insurance — or who are not using insurance — an estimate of expected charges for medical services, including psychotherapy services.
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy.
You can ask your health care provider for a Good Faith Estimate before you schedule a service.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
Make sure to save a copy or picture of your Good Faith Estimate.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059.
See below for policies that apply to all clients:
Practice Policies
Cancellations and No Shows
Dr. Allen requires 24-hours notice for any appointment cancellations. If you cancel after this 24-hour requirement or do not attend your scheduled appointment, a $100 late cancellation fee will be charged to your card on file. Cancellation fees are not billable to insurance.