Insurance can help cover your treatment at Sagebrush.  We work with most insurance companies and can verify your coverage for you.  Please complete the insurance verfication form below and we will get to work for you.

Client Full Name (required)

Client Date of Birth (mm/dd/yyyy) (required)

Policy Holder Full Name (required)

Policy Holder Date of Birth (mm/dd/yyyy) (required)

Call Back Number

Name of Insurance Company (required)

Provider Services Phone Number

Member ID or Policy Number (required)

Group Number on Insurance Card (required)

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