Please enter your health insurance information below and we will email you with a Verification of Benefits, outline your coverage for services provided by Karuna Wellness Studio.

**If you are a parent or guardian verifying benefits for a minor or dependent, please enter the name of the person receiving services as the Client, and your name as the Contact.

Client Legal First Name *

Client Legal Last Name *

Client Date of Birth: *

Insurance Plan *

Name of insurance plan if "Other"

Member ID #: *

State of Residence: *

Photo of Insurance Card (Front & Back): *

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

Contact's Full Name *

Contact's Phone

Contact's Email *

By submitting this information, I am permitting Karuna Wellness Studio to contact my insurance company to verify my benefits for services and I will receive an email with my verification enclosed in 1-2 business days.