No Limits Psychological Services, PLLC

No Limits Psychological Services, PLLCNo Limits Psychological Services, PLLCNo Limits Psychological Services, PLLC
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    • Home
    • About Us
    • Services
    • About ISTDP
    • For Patients
    • Forms / General Info
    • Contact Us

No Limits Psychological Services, PLLC

No Limits Psychological Services, PLLCNo Limits Psychological Services, PLLCNo Limits Psychological Services, PLLC
  • Home
  • About Us
  • Services
  • About ISTDP
  • For Patients
  • Forms / General Info
  • Contact Us

Patient Forms and Information

Please download the attachment pertaining to Good Faith Estimates. 


We will provide additional required forms directly to you prior to the first appointment.


Right to Receive a Good Faith Estimate of Expected Charges (pdf)Download

Good Faith Estimate and Surprise Medical Bills

As of January 1, 2022, federal healthcare laws have changed to protect consumers against unexpected medical charges/bills. 


You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost 


Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services. 

  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
     
  • Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
     
  • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
     
  • Make sure to save a copy or picture of your Good Faith Estimate.
    For questions or more information about your right to a Good Faith Estimate, visit
    www.cms.gov/nosurprises or call (210) 202-0100. 


**IF YOU DO NOT HAVE OR DO NOT PLAN TO USE INSURANCE, OR IF WE ARE OUT OF NETWORK, WE WILL PROVIDE YOU A GOOD FAITH ESTIMATE PRIOR TO YOUR FIRST APPOINTMENT**
 

Patient Rights

We encourage you to bring concerns about any aspect of your care directly to your therapist so they may be addressed. Alternatively, Dr. Chris Howells (Owner/CEO and clinical psychologist) is available to address any business-related concerns and/or clinical concerns that cannot be directly addressed with your therapist. Many concerns can be easily and readily addressed in these ways. We do understand, though, that sometimes problems arise which cannot be addressed sufficiently in these ways.



For questions or concerns about the clinical practice or professional conduct of a licensed behavioral health professional, contact the Texas Behavioral Health Executive Council (BHEC):


🔗 BHEC Website & Contact Form: https://bhec.texas.gov/contact-us/ 

☎️ Complaints/Enforcement (24-hr Toll-Free): 1-800-821-3205 

📧 Enforcement Email: Enforcement@bhec.texas.gov 

📞 Phone (General): (512) 305-7700 

📍 General Mailing Address: Texas Behavioral Health Executive Council

 1801 Congress Ave., Ste. 7.300, Austin, TX 78701 



To file a consumer complaint regarding unfair or deceptive business practices, contact the Office of the Texas Attorney General – Consumer Protection Division:


🔗 Consumer Protection Website & to File a Complaint: https://www.texasattorneygeneral.gov/consumer-protection/file-consumer-complaint 

☎️ Consumer Protection Hotline: (800) 621-0508 

📍General Mailing Address:

Office of the Attorney General

PO Box 12548

Austin, TX 78711-2548 



You have the right to request access to your healthcare records (see the “For Patients” section for additional information). To do so, you may submit a request directly to your therapist. Alternatively, you may call our office or send us a written request. Our contact information is available in the “Contact Us” section of this website.

Additional information can be found in section 181.105 of the Texas Health and Safety Code. 

Copyright © 2025 No Limits Psychological Services, PLLC - All Rights Reserved.


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