Talyn Olguin, LMFT
Psychotherapy for Individuals, Couples and Families
Please print and complete the appropriate paperwork below. Bring to the initial session to get started.
Initial Paperwork: Please bring a completed version of these two forms. If you would like to discuss them or have any questions please let me know.
Additional Paperwork as Needed:
Good Faith Estimate Notice
You have the right to receive a “Good Faith Estimate” explaining how much your
medical and mental health 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 expected charges for
medical services, including psychotherapy services.
You have the right to receive a Good Faith Estimate for the total expected cost of
any non-emergency healthcare services, including psychotherapy services.
You can ask your health care provider, and any other provider you choose, for a
Good Faith Estimate before you schedule a 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
For questions or more information about your right to a Good Faith Estimate,