Medical Disclaimer & Good Faith Estimate Notice

Medical Disclaimer

The information provided on this website and through services rendered by Ana Hopkins, PMHNP-BC is for general informational and therapeutic purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always consult your physician or a qualified healthcare provider with any questions regarding a medical condition. Never disregard professional medical advice or delay seeking it because of information provided here.

Good Faith Estimate (GFE) Notice

In accordance with Section 2799B-7 of the Public Health Service Act and regulations including 45 CFR 149.610(c), 149.610(c)(1), 149.610(c)(1)(iii)(B), 149.610(b)(2), and 149.610(c)(2), uninsured and self-pay patients are entitled to receive a Good Faith Estimate of expected charges.

You have the right to request a Good Faith Estimate:

• Before scheduling a service
• When scheduling a service
• Upon request at any time

Standard Service Fees

Required Disclaimers

• Follow-up Services: After an initial evaluation (90792, 90791, 0591T), continued treatment may require follow-up sessions such as 99214, 90837, or 0592T. A new Good Faith Estimate will be issued upon scheduling each follow-up service.
• Estimates Subject to Change: Charges in the Good Faith Estimate are estimates only and may not reflect the final cost of services rendered.
• Additional Services: Some treatments (e.g., TMS, Spravato) are not included in the initial estimate and may require separate scheduling and estimates.
• Right to Dispute Charges: If your final bill is $400 or more above the Good Faith Estimate, you may initiate the federal patient-provider dispute resolution process.
• Billing Questions: Please contact our billing department with any concerns or disputes. We’re happy to address and correct any errors.
• This Estimate Is Not a Contract: Receiving a Good Faith Estimate does not obligate you to receive services from any provider or facility listed in the estimate.