Insurance Verification | Steps to Recovery

Want to begin treatment at Steps to Recovery? Have questions about insurance? Use the below insurance verification form to beign the admissions process. You can also contact Steps to Recovery today at 866-488-8684.

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Patient Information
Name*
First Last
Patient Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Patient Phone*
Patient Email*
Patient Date of Birth*
MM slash DD slash YYYY

Primary Insured Information
Primary Insured Full Name*
First Last
Primary Insured DOB*
MM slash DD slash YYYY
Primary Insured Phone Number*
Primary Insured Email Address*

INSURANCE COMPANY INFORMATION
Insurance Provider Name*
Insurance ID Number*
Insurance Group Number*
Insurance Company Phone #*
Insurance Type*
How Did you Hear About Us
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Get the Support You Need – Call 866.488.8684

“From the moment you walk through the door you are made to feel like family. You are no longer alone. The clinicians have a way of making you comfortable enough to talk about anything.” -George E.

“The staff at STR is as first class as they come. It’s nice to have people who genuinely care about their clients…” -Robert D.

“StR has changed my life. What an amazing experience to have. The staff is amazing and I couldn’t ask for a better place to just be ME.” -Tiffany W.

Step 1 of 3

Patient Information

Primary Insured Information

INSURANCE COMPANY INFORMATION

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