New or Existing Client?

Depending on your stage of service with L.I.G, you may have to complete the following forms. If you are a new client, you will have to complete the intake and consent to treat forms. This practice is out-of-network (OON) with most/all health insurance plans. Many individuals have health insurance plans that will reimburse a portion of your costs for OON treatments. Please complete the form below to authorize this practice to obtain your specific coverage & deductible information for you. After you verify that your insurance will reimburse you for the services you receive from L.I.G, you can also file a claim.

Intake Forms

Intake forms are necessary for L.I.G to begin treating you

Consent to Treat

L.I.G can not provide any services without your consent.

Verify Your Benefits

See if your Insurance will reimburse you

File a Claim

File a reimbursement
claim 

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