Provide the insurance name here as written in the insurance card including specific network PPO/HMO Medicare Advantage *if BCBSIL*
Limited to 600 characters
Upload a photo of your insurance card
Insurance Member ID:
(Compsych/Guidance Expert, Optum, Curalinc/ Amtrak, EverNorth, CCA, etc) Write Name of EAP network here::
If unsure/ unable to give agent the insurance or EAP referral code, client must follow-up/ contact the office by phone/ email within 24-48 hours after scheduling for Insurance/ EAP verification. Pls. text the EAP code and EAP network (If applicable). If using Medical Insurance: Upload the photo of the insurance card (front and back) via email to admin@therapyhealthclinic.com or TEXT 708-888-0491
For medical emergencies, contact your healthcare provider or call 911. For mental health crises, call or text 988.