If you would like to have your insurance coverage verified please fill out the form below and the submit the information so we may contact your insurance company and verify coverage. If you do not have all of the information below, please call our Admissions Team to start the process and help you gather the required information.

Note: Once insurance is submitted and you do not hear back from us within 2 hours, call Admissions for a follow up as it could mean we did not receive the form properly. Admissions: (888) 417-1874  We are here to help you!