Insurance Verification

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Verify Your Insurance

If you have insurance through a major provider, your treatment is most likely covered.

Verify Your Insurance

If you have insurance through a major provider, your treatment is most likely covered.

"*" indicates required fields

Name

This field is for validation purposes and should be left unchanged.

Name of Client*

Birth Date

Your Name

First Last

Best Contact Phone Number*

Email*

Preferred Method of Contact*

Name of Insurance Company

Member ID #

Group ID #

Insurance Company Phone

Consent*

* I request and consent to the office of Beach House Center for Recovery communicating with me using email. I understand that such communications may include my personal medical information, will not be encrypted, may be intercepted or alternated in transmission, and may be viewed by others with access to my email account or phone. I understand that I may revoke my consent at any time by contacting the office of Beach House Center for Recovery at 844-662-8117.

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Verify Your Insurance

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