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Insurance Verification

If you are ready to take the next step towards recovery, please complete our insurance verification form. One of our admissions staff will contact you as soon as we process your application. We accept most insurance policies and also take clients who prefer cash-pay. All information provided will be kept strictly confidential.

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Enter the patient's first name
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Enter the patient's last name
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Enter the patient's date of birth
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Enter your phone number
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Enter the patient's insurance provider
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Enter the insurance group ID number
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Enter the insurance ID number
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Enter the insurance provider's phone number