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Insurance Card and Driver's License Submission

Uploading a front and back copy of your insurance card and your driver's license

allows us to verify your insurance coverage prior to your first visit.

Submission

You have 2 options to send copies of the Insurance Card and Driver's License:

1) Click on the buttons below to securely upload a clear, readable photo of your PRIMARY INSURANCE card (front and back) along with your current DRIVER’S LICENSE. 


2) Scan and Email copies of these to marpearlcontactme@gmail.com

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Important: Photos/images must be in one of the following formats if uploading:  .jpg, .png, and .gif. and under 15 MB.

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Front of Insurance Card

Choose Files

Back of Insurance Card

Choose File

Driver's License

Choose File

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An error occurred. Try again or email the images. Be sure the file meets format and size requirement listed above.

Submission may take a few minutes. The above + Choose File buttons will change color for each image successfully uploaded. Page will direct to Contacts when finished.

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