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We work with most insurance companies. If you have any issues completing this insurance verification form, or would like to speak with our Admissions Specialists about insurance verification directly, please call us.

  • Insurance Information

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  • Client Information

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  • Accepted file types: jpg, png, pdf, Max. file size: 140 MB.
  • Accepted file types: jpg, png, pdf, Max. file size: 140 MB.
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    Wondering what happens with your information?

    IMPORTANT: We take your confidentiality seriously, and we strictly abide by HIPPA regulations and use the information you provide on this web form to find the right program for your loved one. We do not use your information for anything other than placement. Thank you for your interest in Embark. For more information, please see our privacy policy.