Insurance Information Form

Please note we are only in network with BCBS of IL PPO and AETNA. Please verify your insurance benefits by calling your insurance company directly. We ask that you do this to verify that your mental health benefits are covered by Blue Cross Blue Shield PPO or AETNA and not contracted through another provider. If your mental health benefits aren’t covered by insurance BCBS PPO or AETNA, we are still happy to work with you at the private pay rate and provide you with a super bill for possible reimbursement from your insurance company.