Almost Done!In order to secure your appointment, please provide your Insurance Member ID. Personal Information Location and Time Insurance Thank you Insurance* Insurance Member ID We can not verify your insurance with provided details. Our customer care team will get in touch with you shortly. Please review and verify your information. First Name* Last Name* Date of Birth* I'm under the age of 18 years old and I confirm my parent(s) or personal representative consent my intention to have a treatment at I confirm the information provided is correct. Invalid member ID. Save anyway? Edit Confirm One moment please...