If you would like to have your insurance coverage verified please fill out the form below and the submit the information so we may contact your insurance company and verify coverage.
Apple Mac users, please download the insurance form and fax or email the completed form back.
If you would prefer to print and fax the insurance information, please download the insurance form. Fax # 928 778 5912
** Note: If you do not hear back from us within 2 Hours it means we did not receive the form properly, if this is the case please call Sandra right away at 877-917-6237 We are here to help you!