Verify your benefits.

WHAT ARE YOU WAITING FOR?

Verify now.

Fill out the confidential information below.

"*" indicates required fields

Your Name*

First Last

Return Callback Phone Number*

Please complete this required field.

Email*

Who is seeking treatment?*

Yourself

A Loved One

How did you hear about us?*

Insurance Information

Would you like us to verify you or a loved ones insurance benefits?*

Yes

Date of Birth*

Insurance Company*

Member ID*

Emergency Contact*

Emergency Contact First Name Emergency Contact Last Name

Emergency Contact Phone Number*

CAPTCHA

By opting in, you are giving us your consent to contact you via email, SMS, or other electronic means for marketing and promotional purposes. You can also text START to +1 (888) 828-8594.

Name

This field is for validation purposes and should be left unchanged.

You know you can’t keep living this way.

It’s time to make a change, but you can’t do it on your own. It might be hard to believe that a different life is within your reach – one without drugs and alcohol.

At Transformations Care, we’ve helped enough people get clean and sober to know that just one decision can have a huge impact on your life.

Everyone deserves that chance.