We work with many leading insurance providers. Fill out the form below to find out if your insurance company will cover your treatment costs at SpringBoard.

Verify insurance

Have your insurance card handy

You’ll need it to complete this form.

Your Name

Your Email

Your Relation To Patient

(*) Required Field

(The primary person on the insurance policy)

Primary Insured Name (*)

Primary Insured Date of Birth (*)

Primary Insured Email

Primary Insured Phone (*)

Your information is SSL encrypted

(The person that needs treatment)

Patient First Name (*)

Patient Last Name (*)

Patient Phone (*)

Insurance Provider (*)

Patient Date of Birth (*)

Insurance Phone (*)

Insurance ID Number (*)

Group ID Number (*)

Type of Plan (*)

Additional information