Step 2 of 2: Verify Your Insurance Details

Skip the hold music, we'll call your insurance for you!

When you complete this step, you’ll get an email and text with:

✅ Quote of coverage (email and text) within 48 business hours.
✅ Your personalized nutrition plan eligibility
✅ A follow-up text from our team to book your first session

🏥 Patient's Details 🏥

This free verification does not affect your insurance or cost you anything.

Your info is 100% secure.

Patient's Full Name *

Date of birth *

Patient's Height *

Patient's Weight *

State of Residence *

Upload a photo of the front your insurance card — this lets us verify your benefits faster and more accurately. *

Front

Upload Back of Card (so we can contact them directly)

Back

Policy Info

Policy Holders First and Last Name

Policy Holders Date of Birth

Policy Holder's Gender

What Do You Want Your Dietitian to Focus On?

Choose the areas that best match your goals and lifestyle.

Performance

CrossFit Competitive

CrossFit Casual / General Fitness

Lifestyle

Macros & Meal Planning

Supplements

Emotional Eating

Body Composition Goals

Lean Out (Fat Loss)

Build Muscle Mass & Strength

Body Recomposition (Lose Fat, Keep/Gain Muscle/Strength

Health & Recovery

Hormones & Women’s Health

Gut Health

GLP-1 Weight Loss Medications (Monjaro, Ozempic, Wegoovy)

Sleep & Recovery

Insurance Conditions

Check all that apply (helps us confirm your coverage)

Weight Management / General Health

General Healthy Diet (Z71.3)

Overweight BMI 25-29 (E66.3)

Inappropriate Diet and Eating Habits (Z72.4)

Obese BMI 30+ (E66.9)

Heart / Kidney Health

High Cholesterol (E78.00)

High Blood Pressure / Hypertension (i10)

Family History of Heart Disease (Z82.49)

Chronic Kidney Disease (N18.9)

Blood Sugars / Diabetes

Eating Disorders

Anorexia (R63.0)

Binge Eating Disorder (F50.81)

Bulimia (F50.2)

AIs there anything specific you'd like your dietitian to specialize in or know about you?

I understand this information will be used only to verify my nutrition benefits and will not be shared outside RX Nutrition & Fitness.

You’ll be redirected to book right away. Lock in your time now.

✨ Our guarantee: Cancel with 24 hours or more notice and pay nothing, independent of insurance coverage.

We’ll confirm your insurance benefits within 48 business hours.

We’ll verify as accurately as possible, but final coverage is determined by your insurance.

Contact Us

TEXT: 469-300-1392