Submit Your intake Documents

We need a copy of a valid form of identification (ID, Driver's License) to prevent insurance fraud.

We need a copy of the front and back of your insurance card to verify your benefits. The front of your insurance card provides your member/subscriber ID, and other identifying information that we need to verify your benefits. The back of your insurance card provides helpful information about pre-authorization requirements, and phone numbers we need to contact and bill your healtinsurance carrier.