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  • New Client Enrollment Form


  • In case of emergency



  • Insurance Information

    Please insert the front and back images of your insurance card along with the subscriber's full name and date of birth. Please note only **Some Horizon BCBS plans are accepted**. By inserting your insurance card for review, you are approving Alternative Therapies, LLC to verify your insurance by contacting your insurance company and giving details that you provide in order to verify eligibility, benefits and co-pay information.
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