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Succulents

Appointment Request

The link below will take approximately 10 minutes to complete.

For your convenience, please have Insurance card and ID ready to upload electronically. 

If you need assistance completing this form please contact the office. 

Accepted Insurances

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  • Aetna

  • Anthem

  • BCBS / Medical Mutual Ohio

  • Buckeye

  • Caresource

  • Healthscope

  • Optima / Ohio Healthy

  • Optum / United Health Care / UMR

    • Does not cover ADHD or ASD testing billed by a psychiatrist​

  • Molina

    • Does not cover ADHD or ASD testing​

NEXT PAGE: SELF PAY RATES

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