• STANDARD NOTICE

    “Right to Receive a Good Faith Estimate of Expected Charges”

    Under the No Surprises Act

     

     

    YOU HAVE THE RIGHT TO RECEIVE A “GOOD FAITH ESTIMATE” EXPLAINING HOW MUCH

    YOUR MEDICAL CARE WILL COST

     

    Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

    •  You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, hospital fees, and mental health services.
    • Make sure your health care/Mental health provider gives you a Good Faith Estimate in writing at least 3 business days before your medical or counseling services. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an appointment.
    • 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, visit www.cms.gov/nosurprises or Restoring Lives Family Services Center LLC at 305-814-3437

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Terms & Conditions
Disclaimer
If you are experiencing suicidal thoughts or have a plan to harm yourself or others please contact  911, National Suicide Prevention Lifeline 800-273-8255 or go to your local emergency room. If you are experiencing a life threatening emergency please contact 911. The information featured on this website, social media posts and blog should not take to place of seeking the assistance of a professional licensed counselor or other professional. All persons seeking counseling will screened and an appropriate referral will be provided if needed. 

Online Appointments and Client Portal
We provide the online scheduling in order to assist potential clients with the ability and flexibility to scheduling appointments. Appointments are requested and confirmed by selected counselor only after proper screening, providing a copy of your insurance card or number, verification of referral source, and background check (if applicable).

Purchases
1. Purchase of Package should be done if you have been screened by a therapist or staff or you are willing and ready to participate in counseling.
2.  No refunds will be provided on packages. Only a credit will be issued towards future services. 
3. All Online Counseling & Coaching clients will screened to ensure that this service is appropriate. If Online Counseling is not appropriate alternative services will be discussed such as Office Based Counseling. A credit will be provided for purchases made for use towards new and appropriate service. 
4. Store and Promotions are for Self Paying Clients purpose is to assist self paying clients to obtain services who may not be able to afford counseling rates. Sessions are purchased in bulk at a discounted rate. 

Cancellations
All cancellations must be done 24 hours prior to the start of session. Rescheduling of appointments must be done 24 hours prior to the start of session. A cancellation fee will be charged for all missed or late cancel appointments. Please attend all sessions on time. Your therapist at their discretion may provide a grace period of 15 minutes. Life happens and so do emergencies. Please notify your therapist as soon as you can, your situation will be taken into account. A waiver of cancellation fee will be given at the discretion of your therapist and office staff.

Consents
All clients will be provided a consents about company policies, treatment process, HIPAA, and termination of treatment. 

Termination of Counseling
You can always stop counseling at anytime. We ask that you notify us as soon as possible your decision. If you miss three weeks of counseling and do not contact your therapist or our office you will be terminated from counseling. An email and letter will be sent. You can always restart your counseling by calling us. If contact is not frequent or inconsistent upon starting counseling your assigned counselor may terminate services. 

Privacy Practices
Your information will be kept confidential unless:
We have to disclose your information due to a medical emergency .
If you have abused a child or an adult.
If you have been abused.
If you are suicidal or homicidal.
If we have to legally due to a court order.
If you want us to disclose  any of your information to someone or an agency a release form will need to be signed.

Insurance Carrier Logos: Use of logos dose not mean endorsement by the companies listed. Information is for the purpose of informing members.