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Verify Insurance

We can help you verify your insurance and determine what your out-of-pocket expenses will be for your stay at Southern California Recovery Centers.

We’re here to help. Please fill out the form below (fill out as much information as you can).

For Assistance 24/7 Please call us at (800) 410-6552

Comments or questions are welcome.

Patient Name*

Patient Date of Birth*

Email Address

Phone Number*

Address

Street Address City State ZIP Code

Insurance Provider*

Insurance Phone Number

Insurance ID #*

Insurance Group ID #*

Type of Plan

Have you been to treatment before?

Brief description of your problem

Phone

This field is for validation purposes and should be left unchanged.

34249 Camino Capistrano
Capistrano Beach, CA 92624

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Accreditations

Certified by the Department of Health Care Services DHCS #300265AP – Expires 02/29/2024 Treatment Centers in Southern California

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