We can help you understand the extent to which your insurance will cover treatment at Sea Change. Simply complete the form below and we will call you once we speak with your carrier.

Insurance Accepted:

Name *
Name
Phone Number *
Phone Number
Name (If different from above)
Name (If different from above)
Date of birth of person seeking treatment *
Date of birth of person seeking treatment
Phone Number on Back of Card, Marked "Provider" or "Mental Health" * *
Phone Number on Back of Card, Marked "Provider" or "Mental Health" *