Good Faith Estimate for Health Care Services

 Patient Diagnosis: To Be Determined or Provided after services have started

 The following is a detailed list of expected charges for Psychotherapy / Couple Therapy Services provided by: Dr. Peonita Harris at The Couple and Family Clinic

 90791: Assessment Sessions 1 and 2 Cost $250.00

90837: 60-minute Psychotherapy Cost $250.00

90847: Conjoint/Family/Couples Therapy Cost: $250.00

 I expect that my care of you will require weekly or bi-weekly therapy sessions for 12 weeks. Although the number of total sessions that are required to meet your goals are unknown at this time, the average number of sessions to address an uncomplicated presenting issue is 24. Depending on the progress that we make, I expect that you will need 18 months of sessions. However, this is an average and estimate of costs at 12 sessions @ At $250.00 per session. This estimate expires on December 31st, 2025.