Insurance and Payment

Currently, we support a number of public and private insurers:

If we’re not currently credentialed with the patient’s insurance, we perform pre-authorization and can serve as an out-of-network provider for them. Also, we work with cash pay patients as well. Our programs and rates are extremely affordable. So, reach out to us today to see if we accept your plan. We’re glad to talk with patients and work out insurance and payment plan.

Please contact us if you have any questions or doubts about your current insurance situation. We want to help you understand your insurance and payment options.
We accept credit card payments from Visa, Mastercard, American Express, and Discover.

Patient's Contact Information
Patient's Name*
First Last
Patient's Phone Number*
Patient's Date of Birth*
MM slash DD slash YYYY
Patient's Email Address*
Who is seeking treatment?*
- Yourself
- A Loved One
How Did You Hear About Us?
Your Information
Your Name*
First Last
Your Phone*
Your Date Of Birth*
MM slash DD slash YYYY
Your Email*
Additional Information
Insurance Information
Would you like us to verify your or a loved ones insurance benefits?*
- Yes
- No
Policy Holders Name*
First Last
Policy Holders Date Of Birth*
MM slash DD slash YYYY
Policy Holders Address**
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Insurance Company's Name*
Insurance Company's Phone Number*
Member ID*
Group Number*
Subscriber relationship to client*
CAPTCHA

Insurance and Payment

Patient's Contact Information

Your Information

Insurance Information