Insurance Verification Form

Clients who wish to bill therapy sessions through their insurance must complete this verification form prior to their first Three Oaks appointment. Please visit our [FAQ page] to learn more!

For insurance related questions, please email LaShawn, our Billing Team member:
verifications@threeoaksbehavioralhealth.com

Please choose one of the following.
What is the name of your Three Oaks therapist? If you have not yet been connected with a therapist on our team, please first submit a contact form. We look forward to welcoming you to the practice!
Please select all that apply.
Click or drag a file to this area to upload.
Please upload a photo of your government issued ID (for example, driver’s license or passport).
Click or drag a file to this area to upload.
Please upload a photo of the FRONT of your insurance card.
Click or drag a file to this area to upload.
Please upload a photo of the BACK of your insurance card.