Benefit Verification

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Verify Benefits

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If you or your loved one is ready to begin treatment at The Orchard on the Brazos, fill out the form below to get started. We’re standing by 24/7 and are ready to walk with you every step of the way on this journey.

Who is seeking treatment?

Myself A Loved One

First Name

Last Name

Phone No.

Policy Holder's First Name (if different)

Policy Holder's Last Name (if different)

Insurance Co.

Member ID

Policy Group Number

Provider Phone Number

Date of Birth

Message

I consent to The Orchard using the information that I've provided to be able to manage this request.

Benefit Verification

Verify Benefits

Fill out the form on this page to start the process.

If you need immediate assistance or would prefer to speak directly with an admissions counselor, please don't hesitate to call.

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