- Blue Cross Blue Shield (PPO)
- Blue Choice Network
- Aetna
- Medicare
- United Behavioral Health
Some other plans may be accepted if the policy includes “Out of Network” benefits. We will be happy to verify your insurance benefits for you, and explain how they apply to the services we offer. Call our Billing Specialist at 847-802-4058, Ext. 0
Forms & Paperwork
If you are coming to LodeStone Center for the first time and would like to fill out paperwork, please PRINT the documents below that apply:
New Patient Registration (Adult)
or
New Patient Registration (Minor)
*Choose either the Adult Packet or Minor Packet for your first appointment with a therapist.*
Informed Consent For In-person Services During Covid-19 Public Health Crisis
If you need to update information or are looking for a specific form, please PRINT the document you need from the following list:
- Adult Registration Renewal (Existing Patient)
- Minor Registration Renewal (Existing Patient)
– Please include Consent Form Below for Minors - Privacy Notice
- Release of Information
- Credit Card on File Form
- Consent to Treat a Minor
- Telehealth Consent