INSURANCE VERIFICATION FORM

Please fill in this form with the information you receive from your Insurance Company when you call the Member Benefits or Services phone number on the back of your Insurance Card. You can download a copy of the Insurance Verification form under Patient Portal - Forms.

At this time, Bridgette McLaurin, LMHC is our only In-Network provider. All other providers will be Out-of-Network for your Insurance. Be sure to communicate this to your Insurance Company when you contact them.

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