Insurance Benefits Verifications | Improving Lives Counseling Services

Your Name*
Your Email*
Client First Name*
Client First 5 of Last Name*
Client ThinkHealth ID #*

Enter 0000 if this is a new client that has not been entered in TH yet.
Client’s Email*

Needed to notify clients of their benefits and cost
Client’s Phone Number*
Type of Insurance*
Upload a copy of the front of the client's card*
Max. file size: 50 MB.
Upload a copy of the back of the client's card*
Max. file size: 50 MB.