New Patient
Before scheduling your first appointment, we verify insurance coverage in advance to ensure a smooth experience and avoid unexpected costs.
Here’s what we need to get started
Step 1 · Full Name
Your full legal name as shown on your insurance card.
Step 2 · Phone Number
We’ll use your phone number to contact you if we have questions and to confirm your insurance benefits.
Step 3 · Email Address
Your email will be used to send confirmation and appointment details.
Step 4 · Insurance Card (Front & Back)
Please upload clear photos of both sides of your insurance card so we can verify coverage.
Step 5 · Submit the Form
Once submitted, our team will review your information and contact you to confirm coverage and next steps.
Most major insurance accepted
If your insurance is not listed or if you’re unsure about your coverage, please contact us and we’ll be happy to verify it for you.
New Patient Intake Form
Once submitted, we’ll review your details and contact you with next steps.