Download our claim form.
Once you have completed the claim form and possess an itemized receipt for products provided and/or itemized charges for treatments (including any packages or discounts), you can submit the claim through your online account, email, mail or fax.
555 North Lane
Conshohocken, PA 19428
Our goal is to process all claims within 5-7 business days, although incomplete claims or claims requiring additional documentation can take longer to process.