Anchor Therapy Clinic

Documents and Notices

In an effort to be transparent as an organization and ensure compliance with federal, local, and professional laws, regulations, and standards Anchor Therapy Clinic is providing the following documents and notices:

Clinical Intake

New client clinical intake documentation, informed consent, and standard therapeutic disclosures.

CMS Good Faith Disclosure

CMS-10780 Appendix IV - Standard Notice Consent Updated

Good Faith Estimate Template

CMS Good Faith Estimate Template

Anchor Therapy Clinic

Nonprofit Determination Letter

No Suprise Act - Disclosure

Anchor Therapy Clinic No Suprise Act compliance disclosure