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Good Faith Estimate Kit (2026)

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$9.99
$9.99
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The No Surprises Act Good Faith Estimate obligation for therapy practices, condensed to a four page guide and editable templates.


What you get

  • A complete GFE form with every required element and disclaimer
  • Website and office notice text, and the oral script for scheduling calls
  • An annual renewal note for the recurring services provision
  • A four page guide: who must get an estimate, the deadlines, the twelve month rule and the $400 dispute rule


Who it is for

Therapists and practices who see self-pay clients, including insured clients who choose not to use insurance.


Why it exists

If you see self-pay clients, federal law already requires you to give them a written cost estimate, on a clock measured in days. Most private practices are winging it. This kit is the whole obligation, verified against CMS guidance and the regulation text, condensed to a four page read and a template.


The guide covers who must get an estimate, including insured clients who choose not to use insurance, the actual deadlines, the notice you must display in the office, on your website, and say aloud when scheduling, and the recurring services provision that saves therapy practices: one estimate at intake can cover up to twelve months of expected sessions, renewed annually. Plus the $400 dispute rule and what CMS says about estimates before a diagnosis exists.


The editable templates do the work: a complete GFE form with every required element and disclaimer, website and office notice text, the oral script for scheduling calls, and the annual renewal note. Folded into your intake packet, the entire ongoing burden is about two minutes per new client.


Format

Four page PDF guide plus editable Word templates, with a printable PDF set of the same.


Based on 45 CFR 149.610 and CMS guidance as of August 2026. Federal requirements only; some states add their own rules. A compliance summary, not legal advice.

Walkthrough video: a look inside before you buy.

You will get the following files:
  • PDF (34KB)
  • DOCX (10KB)
  • PDF (30KB)

Buying from ClinicalToolsCo

Instant download

Files arrive right after checkout and again by email. No app, no login, no subscription. Study material is print-ready PDF; practice tools are editable Word and Excel files.

Written by a practicing clinician

One author writes everything here, from the exam questions to the documentation templates. Exam material follows the content outline your board publishes; nothing is taken from a live test.

Over 1,600 sales, rated 4.9

ClinicalToolsCo started on Etsy, where buyers rate it 4.9 out of 5. Over 1,600 sales across Etsy and this site. Same files, same author. Questions go to nick@clinicaltoolsco.com.