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Web good faith estimate template health care facilities on behalf of health care providers and health care facilities omb:. A good faith estimate should include expected. Below is an example of a good faith estimate form for. Many psychologists in independent practice can work with this simple one. Web create a gfe template for your practice. Web apa’s gfe template form (docx, 26kb) provides an example of how to satisfy both needs. As filled out, that form. Web good faith estimate flyer (pdf) what's included in a good faith estimate?