Below are links to the forms needed to request reimbusement from your insurance provider. Simply find your insurance company and click to be redirected to the PDF form. You will need to print this form and submit it to your insurance via mail. You will find instructions for how to mail in your request in the form.

If you do not see a link for your insurance provider and you are having trouble locating it online, please let me know and I will help you locate the form.

Blue Cross Blue Shield Federal Employee

Kaiser Permanente

Medicare (all types)

United Healthcare