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

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

Choose Files
Max File Size 15MB

Back of Insurance Card

Choose File
Max File Size 15MB

Driver's License

Choose File
Max File Size 15MB

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