For those interested in utilizing insurance benefits for individuals, family, or couples work, please submit the insurance verification form below, including a photo of the front and back of your insurance card. ​

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If you are scheduling for a minor, please submit the primary holder's insurance card and information in the boxes, using the message space to provide us with the minor's information. ​

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A member of our Client On-boarding team will respond to you within 1-2 business days.