Check Insurance Please fill out the form below, and an AWRS representative will be contacting you once we verify the status of your coverage. Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Patient's Name *FirstLastDate of Birth *Phone *Insurance Company Name *Member ID * Name 18 Member Group NumberWhat is 13 x 5? *Are you 18 years or older? *YesNoCheck Insurance