Chapters Capistrano does not accept Medicaid/Medicare

Maximize Your Insurance Coverage With Our Help

We will work with insurance to get you the best possible coverage and minimize expenses.

Three Main Steps of Admission Process

Ensure that you get the best addiction treatment program for your specific needs
with the least out-of-pocket cost possible.

Contact Person Patient Info

Client DOB:

Subscriber First Name:

Subscriber Last Name:

Subscriber DOB:

SSN (Last 4):

Insurance Info Insurance Providers:

Insurance Policy #:

Group Number:

Insurance Provider Phone Number:

Additional Notes: