LCP Fix Verify Insurance - Clearfork Academy

Verify Insurance

Steps to Insurance Verification

  1. FIll out the form below, or call us for a free verification of benefits 
  2. Complete a clinical screening while our team calls your insurance
  3. Review insurance benefits and financial obligations (if they apply)

Verify Insurance Form

Fill out the form below to verify your insurance benefits and we’ll get back to you as soon as possible. Please note that all fields are required.

Client Information

Insurance Information

Click or drag files to this area to upload. You can upload up to 2 files.
Accepted file types: jpg, png, pdf, Max. file size: 10 MB, Max. files: 2.
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