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Insurance Form

Our care team is reviewing your information and will call you shortly to collect your insurance details so that they can verify your coverage and schedule your appointment. If you would like to speed up the process of booking your 1st appointment please enter your insurance details on the right.

Step 2 Insurance verification

Please enter the following details so that our care coordinators can verify your insurance coverage prior to calling you. This will help you get scheduled with a therapist faster.

Any questions? Give us a call!

(800) 567-LIFE (5433)

Thank you for completing the inquiry form. We will reach out to you to schedule your appointment once a care coordinator becomes available. We look forward to connecting.

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