Good Faith Estimate (GFE) Disclaimers

Feb 4, 2022

This disclaimer document should be included with the Good Faith Estimate (GFE) you provide to uninsured patients.

American Psychiatric Association (APA)

Jul 12, 2021

American Psychological Association (APA)

Jul 12, 2021

National Association of Social Workers (NASW)

Jul 12, 2021

Authorization to charge credit card update

Jul 12, 2021

If you need to update or change the credit card you have on file , please complete the attached form and send it through our secure portal