Check Insurance Coverage

Please provide your information below and someone will reach out to you as soon as possible.

You will receive a response within 2 business days outlining your coverage and costs.

Personal Details

First Name

Last Name

Date of Birth

Telephone

Do you know the name of the counselor you will be working with?

Select Your Desired Therapist

Address Information

Street Address

Street Address #2 (Apt, Suite, etc.)

City

State

ZIP Code

Insurance Policy Details

Are you the policy holder?

Policy Holder's First Name

Policy Holder's Last Name

Policy Holder's Date of Birth

Please choose from the following insurance providers

Insurance Carrier

Policy ID Number

Group ID