Insurance Verification Form
We know that contacting your insurance company to gain an understanding of your benefits can be time consuming and frustrating. Complete the form below and someone from our office will be in touch to let you know about your coverage.
[[[["field23","contains","John P. Carnesecchi, LCSW, CEAP"]],[["email_to",null,"john@gatewaytosolutions.org"],["email_to",null,"gtSverify@gmail.com"]],"or"],[[["field23","contains","John A. Mendiola, MD (Infusions ONLY, not therapy)"]],[["email_to",null,"jamendiolamd@gmail.com"],["email_to",null,"gtSverify@gmail.com"]],"and"],[[[]],[],"and"],[[["field23","contains","Doria Miller, LMSW"]],[["email_to",null,"doriacmiller@gmail.com"],["email_to",null,"gtSverify@gmail.com"]],"and"],[[["field23","contains","Madeline Weinfeld"]],[["email_to",null,"madelineweinfeld@gmail.com"],["email_to",null,"gtSverify@gmail.com"]],"and"],[[["field23","contains","Mariam Hager, LMSW"]],[["email_to",null,"mariamhager@gmail.com"],["email_to",null,"gtSverify@gmail.com"]],"and"],[[["field23","contains","Christine Menna, LMSW"]],[["email_to",null,"christinemenna11@gmail.com"],["email_to",null,"gtSverify@gmail.com"]],"and"],[[["field23","contains","Caroline Grace Brown, LMSW"]],[["email_to",null,"carolinegbrown26@gmail.com"],["email_to",null,"gtSverify@gmail.com"]],"and"],[[["field23","contains","Antoinette Bonafede, LMSW"]],[["email_to",null,"antoinette.bonafede27@gmail.com"],["email_to",null,"gtSverify@gmail.com"]],"and"],[[["field44","equal_to","I am an existing client"]],[["show_fields","field46"]],"and"],[[["field53","contains","Yes, I have a secondary insurance policy"]],[["show_fields","field48,field49,field50,field51,field52,field54"]],"and"],[[["field23","equal_to","Not Listed"]],[["email_to",null,"nyfn17@gmail.com"]],"and"],[[["field23","contains","Christina Bradley, MS. Ed."]],[["email_to",null,"christinabradley.gts@gmail.com"],["email_to",null,"gtSverify@gmail.com"]],"and"],[[["field23","contains","Danielle Dellaquila, LMSW, DBT"]],[["email_to",null,"DanielleDellaquila.gts@gmail.com"],["email_to",null,"gtSverify@gmail.com"]],"and"],[[["field23","contains","Jamie Downie"]],[["email_to",null,"JamieDownie.gts@gmail.com"],["email_to",null,"gtSverify@gmail.com"]],"and"],[[["field23","contains","Debra"]],[["email_to",null,"gtSverify@gmail.com"]],"and"]]
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