To request an insurance coverage estimate or to update your insurance information, please complete this form. For general inquiries, complete our contact form. To schedule your first session, complete our scheduling form.
As a courtesy, we obtain insurance coverage estimates from insurers. Insurance coverage estimates are subject to change and are not payment guarantees.
With your consent below, we will provide your insurance coverage estimate to you by email. If you would prefer to not communicate with us by email, you may instead call us at (847) 864-0600, Monday through Friday, 9:00 AM to 5:00 PM CT.
You may find it easiest to complete this form on your smartphone as photos of the insurance card are required.