Health Insurance Plans Accepted

Health Insurance Verification Form

Please fill in the information below and we will call your health insurance company to verify if you have benefits for acupuncture.

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Health Insurance Verification Form

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First Name: *

Last Name: *

Date Of Birth *

E-mail address: *

Telephone

Insurance Company Name: *

Insurance ID number: *

Insurance Company Phone Number (Provider Relations) *

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Address

New York Sports Acupuncture

7 Marcus Garvey Blvd

Suite 429

Brooklyn, NY 11206

Phone: 888.375.5444

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