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 (required): * Phone Number (optional): (###) ### #### If you prefer to be contacted by phone, please provide days and times you are generally 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: * Blue Cross Blue Shield- PPO Blue Cross Blue Shield- Choice or Options Aetna- PPO, POS, EPO Medicare Self-Pay (I do not plan on using insurance) Other Insurance Provider Message: * 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. How did you learn about us: Are you looking for virtual or in person meetings? * Virtual In person Both 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.
