[The link bar feature is not available in this web]

 

 

\Ver"i*ty\,n.; The quality or

state of being true,

factual or real

 

 

Verity HealthNet

P. O. Box 83578

Baton Rouge, LA  70884

225-819-1135

 

If you would like to nominate a provider for participation in the network, please submit the following information to Verity HealthNet.  Upon receipt of this information, we will contact the provider for participation.  

Your First and Last Name:

 

Your Employer:

 

Your Area Code and Phone Number:

 

Your Email Address (to keep you updated): 

 

Provider's Full Name:

 

Provider's Clinic Name (if applicable):

 

Provider's specialty:

 

Provider's Address:

 

Provider's City:                                  State:
  

 

Providers Zip Code:

 

Provider's Area Code and Phone Number:

 

Comments:

 

 

 

 

P. O. Box 83578
Baton Rouge, LA  70884-3578
Copyright 2003 Verity HealthNet

      www.verityhealth.com