North Country Health Spa

80 N. Country Rd. Port Jefferson, NY 11777

(631) 675-6955

North Country Health Spa
80 N. Country Rd.
Port Jefferson, NY 11777
ph: 631-675-6955
fax: 631-675-6956

Insurance Verification Form

Most health Insurance plans are accepted. If you would like to become a Chiropractic patient and want to know if we accept your insurance please fill out this form completely and submit it to us. Someone from our office will contact you within 24 -48 Hrs.

 

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Please provide all of the following information

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This form must be filled out completely with all the information requested or we will be unable to verify your insurance plan.

 Copyright © 2006 North Country Health Spa All Rights Reserved.

 

North Country Health Spa
80 N. Country Rd.
Port Jefferson, NY 11777
ph: 631-675-6955
fax: 631-675-6956