In order to start services you will need all of the following information below:
Once we have all your information, we will verify benefits and submit an initial request for services. The process can take between 1-2 weeks. We will contact you as soon as we hear back from the insurance companies. If you have any questions during the process, please give us a call at (818) 501-0822 Ext. 102 or email us at: firstname.lastname@example.org.
If you have any questions or what more information about starting services, please let us know.
Please complete the form below and a member of our team will contact you shortly.