To allow adequate time for processing, patients are required to provide complete and accurate insurance information at least two (2) business days prior to their scheduled session, including any updates or changes to their plan. Failure to provide this information within the required timeframe may result in the session being billed at the full self-pay rate.

If you have had an update or change to your insurance, please contact our office or complete this form within the required timeframe.

Insurance verification is not a guarantee of coverage or payment. Patients are ultimately responsible for all fees associated with services rendered and may contact their insurance provider directly to verify benefits, coverage, and claim status.