Insurance Information Submission Form

Thanks for your interest in therapy services at Westside! The first step in getting services started is that we need to confirm your insurance benefits. This allows us to provide you with an estimate of what your insurance coverage will be when it comes to therapy.

Use this form to easily provide us with your insurance information or you can take a photo of your insurance card with your phone and email it directly to our Family Support Team at family@westsidect.com