Good Faith Estimate Notice

Calibration Physical Therapy LLC
Effective Date: February 12, 2026

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Your Right to a Good Faith Estimate

Under federal law, you have the right to receive a “Good Faith Estimate” explaining how much your medical care may cost if you are uninsured or choosing not to use insurance.

Calibration Physical Therapy LLC complies with the No Surprises Act and related federal regulations.

Who Is Eligible?

You are entitled to receive a Good Faith Estimate if you:

• Do not have insurance, or
• Choose not to use your insurance for physical therapy services

What Is a Good Faith Estimate?

A Good Faith Estimate is a written explanation of expected charges for medical services, including:

• Evaluation fees
• Treatment sessions
• Other reasonably expected services related to your care

The estimate is based on information known at the time it is created. Actual charges may vary depending on your individual treatment plan.

When Will You Receive It?

If you schedule services at least 3 business days in advance, you have the right to receive a Good Faith Estimate in writing before your appointment.

You may also request a Good Faith Estimate before scheduling services.

What If the Final Bill Is Higher?

If you receive a bill that is at least $400 more than your Good Faith Estimate, you have the right to dispute the charges through a federal patient-provider dispute resolution process.

Information about this process can be obtained from:

www.cms.gov/nosurprises

How to Request a Good Faith Estimate

To request a Good Faith Estimate, please contact:

We are happy to answer any questions and provide transparency regarding expected costs.

Questions?

If you have questions about your billing, insurance coverage, or estimate rights, please contact our office directly.