Yes. You have the legal right to a Good Faith Estimate under the No Surprises Act. I will provide a written estimate at least 1 business day before your appointment upon request. If your bill is more than $400 above your estimate, you can dispute the charge.

To learn more, visit www.cms.gov/nosurprises.

Missing Information

Please make sure all required fields (marked with an asterisk) are filled, then try submitting the form again.