INSURANCE VERIFICATION Fill Out Our Form INSURANCE MUST BE VERIFIED PRIOR TO ACCEPTANCE OF TREATMENT Url First Name * Last Name * Phone Number * Alternate Contact Number Email Address * Primary Insurance * Insurance ID Number * Physician's Name * Message / Comments I have read and hereby authorize payment of medical benefits to CORF OF LAS VEGAS PULMONARY REHAB CENTER for services rendered to my dependents or myself. I also authorize the release of any medical information that is necessary to process Medicare and/or insurance claims. I understand that I am responsible for any amount not covered by insurance. Privacy Policy * Information Summary
