Good Faith Estimate

Under the No Surprises Act, you have the right to receive a “Good Faith Estimate” explaining the cost of your mental health care.

• This applies if you are uninsured or choose to self-pay for services.

• You will receive a written estimate of expected charges before your first session.

• The Good Faith Estimate will include the total expected cost of services, including fees for ongoing sessions if you continue care.

• This estimate is not a contract — your actual costs may vary depending on your unique needs and goals.

If you have questions about your estimate, please contact me directly at jasmine@mindfulmusesolutions.com.

This information is provided in accordance with the No Surprises Act. For more details, visit cms.gov/nosurprises