In compliance with federal law, we provide this notice to inform our patients of their right to receive a Good Faith Estimate for services provided by our outpatient physical therapy clinic. A Good Faith Estimate explains how much your medical care will cost.  This notice applies to all individuals who do not have insurance or who are not using insurance.  

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**How to Obtain a Good Faith Estimate:**

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1. **Request:** You can request a Good Faith Estimate from our clinic before receiving the services. Please contact our billing office to request an estimate.
   
2. **Information Needed:** To provide an accurate estimate, we may need your insurance information, the procedure or services planned, and any other relevant details.

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3. **Timing:** We will provide the Good Faith Estimate within a reasonable timeframe after receiving your request, typically within one business day or at least one business day prior to your first appointment. 

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**Additional Information:**

For more information about your rights under federal law, please visit the Centers for Medicare & Medicaid Services (CMS) website at www.cms.gov/nosurprises.

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**Effective Date:**

This notice is effective as of 9/01/2021 and applies to all services provided by our clinic from this date forward.

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Thank you for choosing Synapse NeuroRehab and Wellness. We are committed to transparency in pricing and ensuring you have the information you need to make informed decisions about your healthcare.