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.
