No Surprises Act:
You have the right to receive a “Good Faith Estimate” explaining how much your healthcare will cost
- Under the law, health care providers need to give patients who don’t have certain types of health care coverage or who are not using certain types of health care coverage an estimate of their bill for health care items and services before those items or services are provided.
- You have the right to receive a Good Faith Estimate for the total expected cost of any health care items or services upon request or when scheduling such items or services.
- If you schedule a health care item or service at least 3 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 1 business day after scheduling. If you schedule a health care item or service at least 10 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 3 business days after scheduling. You can also ask any health care provider or facility for a Good Faith Estimate before you schedule an item or service. If you do, make sure the health care provider or facility gives you a Good Faith Estimate in writing within 3 business days after you ask.
- If you receive a bill that is at least $400 more for any provider or facility than your Good Faith Estimate from that provider or facility, you can dispute the bill.
- Make sure to save a copy or picture of your Good Faith Estimate and the bill.
For questions or more information about your right to a Good Faith Estimate, visit: www.cms.gov/nosurprises/consumers, email FederalPPDRQuestions@cms.hhs.gov, or call 1-800-985-3059.
Records & Privacy
PRIVACY ACT STATEMENT: Cassandra Wolff, LPC is authorized to collect the information on this form and any supporting documentation under section 2799B-7 of the Public Health Service Act, as added by section 112 of the No Surprises Act, title I of Division BB of the Consolidated Appropriations Act, 2021 (Pub. L. 116-260). We need the information on the form to process your request to initiate a payment dispute, verify the eligibility of your dispute for the PPDR process, and to determine whether any conflict of interest exists with the independent dispute resolution entity selected to decide your dispute. The information may also be used to:
- support a decision on your dispute;
- support the ongoing operation and oversight of the PPDR program;
- evaluate selected IDR entity’s compliance with program rules.
Providing the requested information is voluntary. But failing to provide it may delay or prevent processing of your dispute, or it could cause your dispute to be decided in favor of the provider or facility.
How to Request Your Health Records
(Including a Treatment Summary)
Clients have the right to request copies of their health records. This may include a treatment summary, which is a brief overview of your care. Please submit all requests in writing to cassandra@therapycw.com. Requests may be subject to identity verification and applicable fees as permitted by law.
Records will be provided within the timeframe required by Texas law.
Texas House Bill 4224 and Texas Health & Safety Code §181.105.
For Texas Clients
Disclosures in accordance with Texas House Bill 4224 and Texas Health & Safety Code §181.105.
House Bill 4224 (89th Regular Session), which went into effect on Sept. 1, 2025, requires licensees to, per Section 181.105 of the Health and Safety Code, prominently post on their website and at any facility detailed instructions for a consumer to:
- Request the consumer’s health care records from the licensee;
- Contact the Council, as found on the Council’s Contact Us webpage; and
- File a consumer complaint with the Office of Attorney General’s Consumer Protection webpage.
If you would like to contact the Texas Behavioral Health Executive Council (BHEC), which oversees behavioral health licensing boards in Texas, you may do so using the information below:
Texas Behavioral Health Executive Council
Website: https://www.bhec.texas.gov
Contact Page: https://www.bhec.texas.gov/contact-us
The Council can provide information about licensure, regulations, and the complaint process.
For general complaints about false, misleading or deceptive business practices or privacy complaints, you may file a consumer complaint with the Office of Attorney General below:
https://www.texasattorneygeneral.gov/consumer-protection