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Insurance Verification Form

By completing the form below you authorize Pacific Teen Treatment to contact the insurance company on your behalf. This is not binding in any way but will allow us to confirm the insurance coverage specific to your policy.

Once completed you can expect to hear back from our admissions team within 24 hours.

Our admissions team is available 24/7 to answer questions or assist in any way. You can reach us at 800-531-5769 or through the contact form to the right.