everyBody Behavioral Health
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Billing & Payment
Administrative
1
Appointment info
2
Prescreener
Reason for care
Administrative
Billing & Payment
3
Contact information
Do you plan to use your health insurance? If so, please submit a copy of your card on the next question. If you do not have your card, you may still request an appointmnet but please email us your card so that we can verify benefits.
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Insurance
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Insurance card upload
Upload a photo of your insurance card
If you or others are in immediate danger or experiencing a medical emergency, call 911 immediately.
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