Insurance Verification Form
If you would like us to check your insurance coverage before you come into the office please submit the following by email:
Send to Info@OrangeCountyPainManagement.com with the subject "Insurance Question"
- Copy of the FRONT and BACK of your insurance card
- Date of Birth
- First and last name
- A phone number we can reach you at
If you can not send a copy of the card, please list your:
- Insurance Carrier’s name
- Member ID#
- HMO or PPO?
- Phone # so we can call your insurance… it is the # that says "providers call" usually
- Date of Birth
- First and last name
- A phone number we can reach you at
Without all of these pieces of information will not be able to check your coverage.
If you have more questions about insurance coverage for ART® please CLICK HERE







“I can’t say enough how much I love ART! I went through several years of lower back pain and headaches. Traditional doctors just wrote it off as arthritis and medicated me. Then one day my friend recommended trying ART. After just three treatments, my pain was reduced substantially! Now, as soon as I feel any bit of pain (be it from a headache or injury), I head straight to Sebastian for ART treatments instead of the medicine cabinet! Thanks for keeping me pain free!”
Anna Raddavong, Community College Worker