Insurance Verification Form
We are happy to check your ABA/Autism benefits. This is a no pressure, complimentary service. By completing this forms I understand, and agree to release my protected health information to Focused Behavior Solutions, LLC and companies working on their behalf.

To verify insurance benefits, please complete this form and provide a copy of your primary insurance ID card. Forms may be emailed to admin@focusedbehaviorsolutions.com, mailed to our office at 157 S Howard St. Suite 300 Spokane, WA 99201 or faxed to 208-620-3985. Forms should be mailed to the attention of our Case Manager. Please allow 3 business days for verification of your insurance.


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