Does My Health Insurance Cover Treatment at Family Center for Recovery?

Please provide us with as much as this information on this form as possible, and we will contact you ASAP about your coverage for treatment. All information provided will always be kept strictly confidential.

  • Contact Information


  • (If you are seeking help for someone)
  • (If you are seeking help for someone)
  • Patient Information


  • So we can send verification results
  • Date Format: MM slash DD slash YYYY
  • (if different from the patient)
  • Date Format: MM slash DD slash YYYY
  • (Usually located on the back of the insurance card.)