Caring Counseling, Therapy, Psychiatry, for Children, Teens, Adults, Couples

Algonquin 224-678-9033   Inverness 847-776-4500
 

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If you are a new patient at Proactive Behavioral we ask that you complete two tasks. 


1. Please enter your insurance information in the form below and submit to our office electronically.  This allows our office to pre authorize behavioral health services with your insurance is needed.


2.  Print off Proactive Forms 1,2,3, and 4.  Complete the forms and bring with you to your first appointment.



Insurance Information

Thank you for contacting Proactive Behavioral Services! We will get back to you as soon as possible to start your journey with us!
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Forms:

If you are registering with Proactive Behavioral Services for for the first time, you can expedite the process by printing out our forms and completing them. You can then bring them with you to your initial appointment or fax them to the office location where you will be receiving services:

 Inverness Office Fax 847-776-4724 

Algonquin Office and Algonquin Substance Abuse Fax 224-678-9493.

PBS form #5 is an optional form.  Complete this form if you desire for your PBS healthcare provider to communicate with your family, school, employer, primary care doctor, or any other persons  outside of Proactive Behavioral.  Otherwise, all your care at Proactive is kept strictly confidential in accordance with Federal HIPPA laws.