Solace 
Mental Health 
          and 
  Wellness LLC
       Solace 
Mental Health 
          and 
  Wellness LLC
  • Welcome
  • Main Menu
    • New Patient Request Form
    • Services
    • Insurance/Fees
    • Solace Policies/Consent
    • Privacy Policy
    • No Surprises Act
    • Emergency Resources
    • Photo Gallery
    • Employment Opportunities
    • FAQs
    • Contact Us
  • Solace Team
    • Kelly Bartz, CRNP-PMH
    • Vivian Craft, CRNP-PMH
    • Ashley DeCarlo, CRNP-PMH
    • Bonnie Gardner, CRNP-FNP
    • Kara Iacovella, CRNP-PMH
    • Via Laurenio, Admin Staff
    • Betsy Ruth, LCSW-C
    • Suzanne Thorne-Odem, DNP
    • Lia Wisner, LCPC
  • Newsletter
  • More
    • Welcome
    • Main Menu
      • New Patient Request Form
      • Services
      • Insurance/Fees
      • Solace Policies/Consent
      • Privacy Policy
      • No Surprises Act
      • Emergency Resources
      • Photo Gallery
      • Employment Opportunities
      • FAQs
      • Contact Us
    • Solace Team
      • Kelly Bartz, CRNP-PMH
      • Vivian Craft, CRNP-PMH
      • Ashley DeCarlo, CRNP-PMH
      • Bonnie Gardner, CRNP-FNP
      • Kara Iacovella, CRNP-PMH
      • Via Laurenio, Admin Staff
      • Betsy Ruth, LCSW-C
      • Suzanne Thorne-Odem, DNP
      • Lia Wisner, LCPC
    • Newsletter

  • Welcome
  • Main Menu
    • New Patient Request Form
    • Services
    • Insurance/Fees
    • Solace Policies/Consent
    • Privacy Policy
    • No Surprises Act
    • Emergency Resources
    • Photo Gallery
    • Employment Opportunities
    • FAQs
    • Contact Us
  • Solace Team
    • Kelly Bartz, CRNP-PMH
    • Vivian Craft, CRNP-PMH
    • Ashley DeCarlo, CRNP-PMH
    • Bonnie Gardner, CRNP-FNP
    • Kara Iacovella, CRNP-PMH
    • Via Laurenio, Admin Staff
    • Betsy Ruth, LCSW-C
    • Suzanne Thorne-Odem, DNP
    • Lia Wisner, LCPC
  • Newsletter

No Surprises Act Information and Policy

Please access the links below to see information related to the No Surprises Act and the Solace Mental Health and Wellness LLC Surprise Billing Protection Form. Updated/active as of 01/01/2022. 

Model Disclosure Notice Regarding Patient Protections Against Surprise Billing Instructions for Providers and Facilities (pdf)Download
Standard Notice and Consent Documents Under the No Surprises Act (pdf)Download

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  • New Patient Request Form
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