ThinkSpot Training and Therapy is an innovative and collaborative therapy and training practice whose primary goal is to provide the highest quality services to individuals, organizations, and the community while staying committed to putting people and principle first.
the good faith estimate form is included as part of the new Client intake paperwork
GOOD FAITH ESTIMATE
PRIVATE/SELF-PAY AND/OR UNINSURED
Sessions with Independently Licensed Providers (LPC/LCSW):
Intake Session $166.00/session; Individual Session $131.00/session; Couples Session $156/session
Sessions with Associates (LPC- Associate):
Intake Session $110.00/session; Regular Session $75.00/session; Couples Session $100/session
Treatment Codes, Length of Sessions and Modality
90791 Initial Assessment Session; 90837 Individual Psychotherapy Session; 90847 Couples Session
53-60 minutes
Frequency
Frequency of sessions are determined by you, the Client, and treatment coordination with your therapist. Sessions typically occur weekly or bi-weekly, until the client and/or therapist opt to discharge treatment. The client can opt to discharge at any time, regardless of the therapist’s recommendations.
Estimated Length of Services Provided
At ThinkSpot, we understand that the expected length of services can change for many reasons: treatment goals change, client availability changes, etc. Similar to the frequency, it is difficult to predict the appropriate length of services that will be provided. To estimate the highest potential cost if you were to continue therapy for a full calendar year, you may multiply the session rate (noted above) by 52 (the number of weeks in a year). The resulting sum does not account for holidays, scheduling conflicts, changes in frequency (as determined by client and therapist), client opting to discharge, completion of goals, etc. This is an estimate only.
Diagnosis
Differential Diagnosis can be a changing variable over the course of treatment. Therefore, we do not find it ethical to provide a diagnosis for a client prior to treatment. Our licensed therapists are trained to communicate the findings of clinical assessments as appropriate, with client care in mind.
Treatment Goals and Modalities
Treatment goals and modalities are part of an ongoing discussion during the therapeutic process. Sessions take place via Telehealth services, utilizing a HIPAA compliant EHR program.
STATEMENT AND DISCLAIMER
If you are uninsured or insured but private/self-pay, you have the right to receive a Good Faith Estimate (GFE) for services. These estimates may change as the treatment progresses and are not a guarantee of treatment frequency, length or cost. If estimates or services are added or changed, you will receive a new GFE. Your signature does not create a contract or require you to receive psychotherapy services from ThinkSpot. If actual costs of services greatly exceed the estimate, you may initiate dispute resolution (DR) by contacting HHS within 120 days. Initiating DR will not adversely affect your quality of care. Additional services must be scheduled or requested separately.