No Surprises Act

A new federal law known as the “No Surprises Act” entitles you to a “Good Faith Estimate” of my fees before you begin counseling. The law is intended to prevent you from receiving a bill greater than you anticipated. I can easily tell you my hourly fees. However, many factors might affect the extent of on- going counseling, including the nature of your concerns, changes in your diagnosis, your personal efforts toward resolving those concerns, and many more. Therefore, my initial estimate of the total cost of counseling is based on the information available to me at the time I made it. Special circumstances may change my initial estimate. I am not required, nor am I able, to provide a diagnosis prior to treatment.

As a further protection against billing misunderstandings, Ohio law entitles you to an “informed consent form” explaining my office practices. I provide this form during our intake session and before our first counseling session. Please ask me any questions about my billing because we cannot not begin counseling until you understand the informed consent form and agree to its terms. If I ever changes my billing practices, and before those changes would take place, we will review a new informed consent form that explains the changes and I will ask you to sign it.

Neither of the federal nor the state law offers perfect protections against misunderstandings. We can fill in the gaps and avoid most disputes about billing if you ask questions. Still, from time to time, you may question the amount that I charged. If that happens, I will meet with you to review your concerns.

After meeting, if we cannot resolve your concerns, you may ask for outside help in resolving any billing dispute. For questions or more information about your rights under the No Surprises Act or the fee dispute process, visit or call (800) 368-1019.

Judi Welsh, MS.Ed, LPCC-S