North Albany Wellness Center Send Message

Who would be receiving care?

Your info

For insurance verification
Select the state you live in
Reason for care
Administrative
Enter how you were referred to our services
Billing & Payment
How do you plan to pay?
To ensure we can verify your benefits accurately, If you are the primary policyholder: Simply enter your Member ID and Group Number. If you are covered under someone else (e.g., a parent or spouse): We require the Subscriber’s full name, date of birth, phone number, and address. This is necessary even if you are the one seeking services, as the insurance company tracks the benefit under the primary account holder's details.
Limited to 600 characters
Upload a photo of your insurance card
Client Preferences
Select a clinician from the list
For example: what you'd like to focus on, insurance or payment questions, etc.
Limited to 600 characters

If you or others are in immediate danger or experiencing a medical emergency, call 911 immediately.

By submitting this form, you agree to the processing of your sensitive personal information, which may include protected health information (PHI). This information may be viewed by team members in this practice.