Good Faith Estimate / Financial Agreement Sample Contracts

HOMESTEAD HOPE COUNSELING SERVICES, LLC
Good Faith Estimate / Financial Agreement • December 27th, 2023

The purpose of this policy is four-fold: first, to promote professionalism and consistency on our part by maintaining affordable, flexible therapeutic opportunity to you. Secondly, to prevent people from wasting the counselor's time and thus preventing us from serving others. Thirdly, in order to accomplish those goals, we endeavor to ensure a few non-payers and 'No Shows' do not run up the cost of providing services which directly impacts all other patients. Fourthly, to satisfy the requirements of the *No Surprises Act of 2022. We thank you ahead of time for your understanding and compliance.

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