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Dr. Serena Sara Good Faith Estimate forms


For our prospective self-pay and uninsured patients, this is provided as our best effort to provide a good faith estimate of the cost of your initial visit. Please understand that the medically necessary services for your care will best be determined by the Doctor at your initial visit in accordance with your consultation and examination results.

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

Download the Good Faith Estimate PDF | Download the Good Faith Estimate Form PDF









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