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Patient Referral Code

*Please note that reports will be sent to the fax number you provide for families that use your outreach code. If you do not have a fax number, please let us know in the text box below.

Call our Support Team at 866-219-8595.

We are available to answer any of your questions between 7:00 AM and 7:00 PM Eastern.

We Accept

AetnaBlue Cross Blue ShieldMedicaidTRICAREUnited Healthcare

Don’t see your health insurance provider listed? Don’t get discouraged! We work with commercial insurance plans, TRICARE, traditional state Medicaid plans and managed care partners. We are constantly expanding our relationships as we grow. And, as a part of our process, our support team will review a child’s insurance benefits with their parent or guardian before the first appointment. To get started families can submit this form or contact our support team at 866.219.8595Participation may vary by state and each child’s health insurance benefits.

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