Good Faith Estimate
Portland Psychotherapy to help you live your best life through openness and connectivity.
Notice to clients and prospective clients:
Under the law, healthcare providers must give clients who don’t have insurance or 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, or at any time during treatment. To request an estimate, please contact our administrative office at (503) 386-1515 or admin@abriradicallyopendbt.com.
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, or how to dispute a bill, see your Estimate, or visit www.cms.gov/nosurprises
Abri Psychotherapy
520 SW Yamhill Street, Suite 345
Portland, OR 97204
Tel: (503) 386-1515, Fax: (503) 386-1522
www.abriradicallyopendbt.com
