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.
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
Important: Photos/images must be in one of the following formats if uploading: .jpg, .png, and .gif. and under 15 MB.
Front of Insurance Card
Back of Insurance Card
Your content has been submitted
An error occurred. Try again or email the images. Be sure the file meets format and size requirement listed above.