Registration Information
Private and confidential assessments and referral information are provided at no charge
24-hours a day, 7 days a week.
For information about any of our programs or services or to schedule an assessment, please call at
1-800-888-0560
We want your registration process to go as smoothly as possible. That is why we have created a guide to help ease the process.
Checking in for both Inpatient and Outpatient Services
You may be required to sign the following:
Voluntary Admission Form Consent For Treatment
Financial Information WorksheetAuthorization To Bill Insurance
If you are a Medicare recipient, you will be required to sign:
Medicare Secondary Questionnaire
Medicare Rights Statement
If applicable please bring with you at the time of registration the following items:
Medicare Card
Illinois Link Card
Remember to bring with you at the time of registration the following items:
Social Security Card
All active insurance cards
Picture ID
Living Will, if you have one
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