Verify Your Insurance

Check Your Insurance Plan or Other Payment Options

Complete the form below and a Fora Health team member will call you back to talk through your insurance plan, quote potential out-of-pocket costs, and discuss payment options or financial aid. We will answer your questions and take you through the next steps. We can even help you enroll in the Oregon Health Plan.

Ready to talk to someone now? Call us at (503) 535-1151.

Verify Insurance Form

"*" indicates required fields

Name (Must be Patient Submitting for Verification)*
When is the best time to call?*
May we leave a message?*
Please let us know if you have any special call-back instructions. Please DO NOT send any other personal insurance information or account numbers in this form.
Authorization*
Authorization*

* By submitting this form, I agree to be contacted by Fora Health Treatment and Recovery at the phone number and/or email provided. If indicated, I authorize Fora Health to leave messages for me including Fora Health’s name, the return caller’s name, and contact information. I understand that in so doing, Fora Health cannot protect this information and that others with access to my electronic equipment (e.g., mobile phone, voicemail, email, or computer) could have access to this message. We do not share this information with any outside organizations.