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InsuranceVerification
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New PatientApplication
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ABFReview
New Patient Enrollment — Step 1 of 3
Complete Insurance Verification
Provide the information ABF needs to review your insurance and determine the appropriate next step in the enrollment process.
After submitting this form, you will be able to continue directly to the secure New Patient Application.
Before You Begin
- Have your current insurance card available.
- Take clear photos of the front and back of the card.
- Make sure the member ID and policy information are readable.
- Enter the patient's legal name and correct date of birth.
- Allow approximately 3–5 minutes to complete this step.
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Important Notice: Submitting this form does not guarantee insurance coverage, acceptance as a patient, or appointment availability. ABF must review your information and complete the appropriate enrollment process before care can be scheduled.