You have requested a written Good Faith Estimate (GFE) about our physical therapy costs. Please be aware that, in compliance with Part II of No Surprises Billing Act*, we are now required to obtain Protected Health Information from you for this GFE, such as:
--Date of Birth
--Your email and/or mailing address
We are also required to send this written document to you through email or through the Postal Service.
A verbal Good Faith Estimate is also available and does not require giving us this information.
You can also request a written copy of the GFE upon scheduling your initial evaluation.
Disclaimer: this provider is not in agreement with the legal requirements of obtaining this information from you if you are just requesting cost estimates.
*Surprise Billing and Transparency Requirements, Subpart G - Protection of Uninsured or Self-Pay Individuals, Effective Date January 1, 2022