Contact Us PLEASE NOTE: We will do our best to respond to you within 48 hours. If you need immediate assistance or if this is an emergency, please call 911 or go to the closest hospital emergency room. Your Name: * First Name Last Name Your Email Address: * Phone Number (optional): (###) ### #### If you prefer to be contacted by phone, when are you available? Contacting for: * Myself (I am over 18) My friend/family member (who is over 18) My friend/family member (who is a minor under 18) Current Insurance Coverage: * Aetna- PPO, POS, EPO Blue Cross Blue Shield- PPO, Choice, or Options plans Blue Cross Blue Shield HMO- Essential Health Partners (my card says Site 501) Blue Cross Blue Shield HMO- Silver Cross (my card says Site 502) Cigna Medicare Lyra Other Insurance Provider Self-Pay (I do not plan on using insurance) Message (optional): Will you be physically located in Illinois at the time of your appointment? * (Dr. Collins & Dr. Hovan are licensed in multiple states; at this time, all other clinicians are only licensed to practice in Illinois) Yes, at the time of my appointment I will be physically located in Illinois. No, I will not be physically located in Illinois. Line How did you learn about us: Thank you for contacting Atlas Behavioral Health. Your information has been sent and a staff member will follow up with you shortly.If you do not get a response within 48 hours, please call us directly at 773-270-3795.
