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 the 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 services.

You can ask your health care provider, and any other provider you choose, 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

Locations

Greg Kilpatrick, LMFT, CST

16 N Marengo Ave.
Ste. 411
Pasadena, Ca 91101

Online Anywhere in Calif.

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Good Faith Estimate

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This contact form is not a secure means of communication and should not be used to transmit any sensitive or protected health information (PHI). For matters involving personal or confidential information, please contact me directly via phone or other secure methods. By submitting this form, you acknowledge and agree that any information provided is non-confidential.

Gregory D Kilpatrick, MSMFT, LMFT is a Licensed Marriage and Family Therapist (LMFT 123790) in the State of California.

All services are provided by Zephyr, A Marriage and Family Therapy Professional Corporation, of which Gregory D Kilpatrick, LMFT, CST is the President, CEO and an employee.