CHECK YOUR COVERAGE

Simply provide your insurance details, and our team will verify your coverage and benefits at no cost or obligation.

Please complete the following information for the person seeking treatment.

Name

First Name

Last Name

Phone

(###)

###

####

Insurance Company

Policy Number Or Member ID

Usually located on the back of your card

Member/Services Phone

Date Of Birth

YYYY

Who will this treatment be for?*

Message

For more information, reach out to our admissions team for a complimentary consultation or program details.

TALK TO ADMISSIONS

OR GET IN TOUCH

OR CALL 818-924-2777