Terms of Use & Good Faith Estimate
Last updated Jan 2026
By accessing, browsing, or using this website, you agree to be bound by these Terms of Use. If you do not agree, please do not use this website.
1. Use of Website
This website is intended for individuals seeking general information about therapy services, including sex therapy, and related topics.
You agree to use this website only for lawful purposes and in a manner that does not infringe upon the rights of, restrict, or inhibit the use of this site by any other user.
2. No Therapist-Client Relationship
Use of this website, including submitting a contact form or engaging in any communication, does not establish a therapist-client relationship with The Center for Identity & Sex Therapy or any affiliated professional.
A formal therapist-client relationship is only established after completion of intake procedures and signed informed consent documentation.
3. Informational Content Only
All content on this website is provided for general informational and educational purposes only. It is not intended as, and should not be relied upon as, professional advice, diagnosis, or treatment.
You agree not to use the information on this website as a substitute for consultation with a qualified healthcare or mental health professional.
4. Intellectual Property
All content on this website—including text, graphics, logos, frameworks (including the ALIGN Framework), and materials—is the property of The Center for Identity & Sex Therapy unless otherwise stated.
You may not reproduce, distribute, modify, or use any content from this website without prior written permission.
5. User Submissions
If you submit information through this website (such as through a contact form), you agree:
Not to submit false, misleading, or unlawful information
Not to transmit confidential or protected health information
That your submission does not create a therapist-client relationship
The Center for Identity & Sex Therapy reserves the right to disregard or not respond to any submission at its discretion.
6. Third-Party Links
This website may contain links to third-party websites. These links are provided for convenience only.
The Center for Identity & Sex Therapy does not control or endorse these external sites and is not responsible for their content, accuracy, or privacy practices.
7. Disclaimer of Warranties
This website is provided on an “as is” and “as available” basis.
The Center for Identity & Sex Therapy makes no representations or warranties, express or implied, regarding the operation of the website or the accuracy, completeness, or reliability of its content.
8. Limitation of Liability
To the fullest extent permitted by law, The Center for Identity & Sex Therapy shall not be liable for any direct, indirect, incidental, consequential, or punitive damages arising from your use of, or inability to use, this website.
This includes any reliance on information obtained through the website.
9. Indemnification
You agree to indemnify and hold harmless The Center for Identity & Sex Therapy and its representatives from any claims, damages, liabilities, or expenses arising from your use of this website or violation of these Terms.
10. Modifications to Terms
The Center for Identity & Sex Therapy reserves the right to update or modify these Terms of Use at any time without prior notice.
Your continued use of the website constitutes acceptance of any changes.
11. Governing Law
These Terms of Use shall be governed by and construed in accordance with the laws of the states in which services are provided, including New Jersey, New York, and Pennsylvania, without regard to conflict of law principles.
12. Good Faith Estimate Notice
In accordance with the No Surprises Act, you have the right to receive a Good Faith Estimate of expected charges for services.
Additional information regarding your rights and how to request a Good Faith Estimate is provided on this page. This notice is included here for reference and does not replace the full Good Faith Estimate documentation.
13. Contact
If you have any questions about these Terms of Use, you may contact The Center for Identity & Sex Therapy through the website’s contact form.
By using this website, you acknowledge that you have read, understood, and agree to these Terms of Use.
Good Faith Estimate
On January 1, 2022, the federal government began requiring that all in-network medical facilities, with out-of-network providers, offer a “Good Faith Estimate” to all their patients. Though our office is an out-of-network facility and we are out-of-network with all insurances, including Medicare, we are providing all our current patients as well as any new patients a “Good Faith Estimate.” Long before this requirement, The Center for Identity & sex Therapy, was offering clear billing practices on all their initial paperwork and will continue doing so with the addition of a federally required form.
Your Rights and Protections Against Surprise Medical Bills
When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.
***(WE ARE AN IN-NETWORK PROVIDER OR FACILITY WITH LIMITED INSURANCE COMPANIES. THOSE CONTRACTS ARE SUBJECT TO CHANGE. OTHERWISE, WE ARE AN OUT-OF-NETWORK PROVIDER.)
What is “balance billing” (sometimes called “surprise billing”)?
When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and/or a deductible. You may have other costs or have to pay the entire bill if you see a provider or visit a healthcare facility that isn’t in your health plan’s network.
“Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay and the full amount charged for a service. This is called “balance billing.”This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit.
“Surprise billing” is an unexpected balance bill. This can happen when you can’t control who is involved in your care—like when you have an emergency or when you schedule a visit at an in network facility but are unexpectedly treated by an out-of-network provider.
You are protected from balance billing for:
Emergency services
If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most the provider or facility may bill you is your plan’s in network cost-sharing amount (such as copayments and coinsurance). You can’t be billed for these emergency services. This includes services you may get after you’re in stable condition, unless you give written consent and give up your protections not to be balanced billed for these post-stabilization services.
Certain services at an in-network hospital or ambulatory surgical center
When you get services from an in-network hospital or ambulatory surgical center, certain providers may be out-of-network. In these cases, the most that providers may bill you is your plan’s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers can’t balance bill you and may not ask you to give up your protections not to be balance billed.
If you get other services at these in-network facilities, out-of-network providers can't balance bill you, unless you give written consent and give up your protections.
You’re never required to give up your protection from balance billing. You also aren’trequired to get care out-of-network. You can choose a provider or facility in your plan’s network.
When balance billing isn’t allowed, you also have the followingprotections:
• You are only responsible for paying your share of the cost (like the copayments, coinsurance, and deductibles that you would pay if the provider or facility was in-network). Your health plan will pay out-of-network providers and facilities directly.
• Your health plan generally must:
o Cover emergency services without requiring you to get approval for services in advance (prior authorization).
o Cover emergency services by out-of-network providers.
o Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in your explanation of benefits.
o Count any amount you pay for emergency services or out-of-network services toward your deductible and out-of-pocket limit.
If you believe you’ve been wrongly billed, you may contact https://www.cms.gov/nosurprises