Verify Your Insurance

Verifying your insurance is a simple way to help us assess your financial options. Fill out the form below as you are able, and we’ll contact you about any information you can’t provide now.

This is not an official admissions application, and you will not be charged for inquiring. Instead, it will help us determine your eligibility coverage options.

Client information.

Client’s full name*

First*

Last*

Client’s date of birth*

Contact information.

Your phone number*

Your email address*

Client’s address

Street Address*

Address Line 2 - Unit, Apartment Number

City*

State*

Zip Code*

Insurance information.

Insurance basics*

Insurance Provider Name*

Insurance Member ID Number*

I don’t have insurance

Private pay

Additional client information.

Client’s last four ssn

Additional insurance information.

Insurance details continued

Insurance Group Number

Insurance Type

Insurance Company Phone #

Primary insured information.

Primary insured’s full name

First

Last

Primary insured’s date of birth

Primary insured’s last four ssn

Primary insured’s phone number

Primary insured’s email address

What We Treat

If you are struggling with your mental health, substance abuse, or both, we are here to help you regain control over your life. Our inpatient, outpatient, and partial hospitalization programs are designed to treat a wide variety of mental, behavioral, and co-occurring disorders in a comfortable setting.

Mental Health

We diagnose and treat a wide variety of mental health disorders, including trauma effects, dual diagnosis, depression, anxiety, PTSD, bipolar disorder, and codependency.

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Addiction

Substance use disorders we treat include addiction to alcohol, opiates, fentanyl and prescription opioids, methamphetamine and other stimulants, benzodiazepines, cannabis, and other psychoactive substances.

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Other Behavioral Health Concerns

A mental health crisis can be layered and confusing. If you don’t see your disorder listed—or don’t know exactly why you are struggling—reach out to us to see how we can help. We treat each client at Sequoia on a personal level, and we’re ready to help you overcome whatever you may be facing.

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Some Insurances We Accept

What We Treat

Mental Health

Addiction

Other Behavioral Health Concerns