Mirror Mental Health Waitlist

Fill out this form to join our waitlist

INSURANCE VERIFICATION

To ensure you have the mental health benefits to cover the services you are seeking, we encourage you to complete this form, which will allow us to verify your insurance benefits. We also encourage you to independently contact your insurance company using the toll-free membership phone number found on the back of your insurance card to verify benefit eligibility.

Please rest assured that this form is safe and secure and the email that will receive your information is HIPAA compliant.

If you have any questions, please feel free to call the Mirror Mental Health office directly at (443) 937-7089 or email us at ad***@mi****************.com.

Contact Us

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