AB630 (Notice to Clients)

I am licensed by the California Board of Behavioral Sciences (BBS). The BBS receives and responds to complaints regarding services provided within the scope of practice of licensed marriage and family therapists.

You may contact the Board online at www.bbs.ca.gov or by calling (916) 574-7830.

Therapist Name: Yasmeen Elbanna
License Type: Licensed Marriage and Family Therapist (LMFT)
License Number: LMFT #152379
License Expiration Date: December 31, 2026

Good Faith Estimate (For Private Pay/Uninsured Clients)

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 healthcare 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 Estimate.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call (800) 985-3059.