GOOD FAITH ESTIMATE NOTICE

Under California law, you have the right to receive a “Good Faith Estimate” to give you insight on the estimated cost of care working with health practitioners. Here are some things for you to know surrounding this law:

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• By law, I have to provide you the expected charge for the medical services I provide when you are not using insurance or do not have it.

• You can ask me, your dietitian, and any other provider you choose, for a Good Faith Estimate before you select a service to work with me.​

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For more information on the Good Faith Estimate act to avoid surprise bills: visit www.cms.gov/nosurprises or call 1-800-985-3059.