Information
Registration Forms
Prescriptions
FMLA, Disability Forms and Letters
After Hours Charges
No Shows, Late Cancels, and Urgent Prescription Refills Charges
Methods of Payment
Insurance
Managing Mental Health
Mental Health Resources
Registration Forms
Prescriptions
FMLA, Disability Forms and Letters
After Hours Charges
No Shows, Late Cancels, and Urgent Prescription Refills Charges
Methods of Payment
Insurance
Managing Mental Health
Mental Health Resources
Registration Forms
As a new patient to our practice, we appreciate you choosing In Step Behavioral Health. To speed up the registration process, we have provided our new patient intake forms for you to download and complete prior to your appointment. Please bring the completed forms with you 20 minutes prior to your scheduled visit. By filling out these forms ahead of time you will save significant time during your appointment.
Note: All information will be held confidential in conformance with HIPAA regulation (Health Information Portability and Accountability Act) as enacted by the U.S.Congress in 1996.
As a new patient to our practice, we appreciate you choosing In Step Behavioral Health. To speed up the registration process, we have provided our new patient intake forms for you to download and complete prior to your appointment. Please bring the completed forms with you 20 minutes prior to your scheduled visit. By filling out these forms ahead of time you will save significant time during your appointment.
Note: All information will be held confidential in conformance with HIPAA regulation (Health Information Portability and Accountability Act) as enacted by the U.S.Congress in 1996.
Prescriptions
Several days before your prescription runs out please ask your pharmacy to fax a prescription request to (630) 262-2645. Written prescriptions must either be picked up during business hours, or you may send in a self addressed, stamped envelope. Please allow two business days for all refills. There is a $10 rewrite charge for written prescriptions that are lost or not filled before they expire. Routine prescription refills will only be completed during normal business hours, so please make sure you have adequate medication for vacations, holidays or weekends.
Several days before your prescription runs out please ask your pharmacy to fax a prescription request to (630) 262-2645. Written prescriptions must either be picked up during business hours, or you may send in a self addressed, stamped envelope. Please allow two business days for all refills. There is a $10 rewrite charge for written prescriptions that are lost or not filled before they expire. Routine prescription refills will only be completed during normal business hours, so please make sure you have adequate medication for vacations, holidays or weekends.
FMLA*, Disability Forms and Letters
FMLA and disability forms require 7-10 days to complete. There is a $45 charge due at time of pick up or prior to submission to recipient.
Non-routine letters can take up to five business days to complete. There is a $25 charge due at time of pick up or prior to submission to recipient.
*Family and Medical Leave Act
FMLA and disability forms require 7-10 days to complete. There is a $45 charge due at time of pick up or prior to submission to recipient.
Non-routine letters can take up to five business days to complete. There is a $25 charge due at time of pick up or prior to submission to recipient.
*Family and Medical Leave Act
After Hours Charges
After hours messages sent to Dr. Srinivas Rao, Martin Mika, APN, Pollyanna Vujovic, MSN, FNP, PHMP-BC, Amy Drescher-Crumpley, APN will be responded to generally within one hour and may incur a fee. Here are a few examples you may want to consider before sending a message:
As always, for life threatening situations or emergencies call 911 or visit the nearest Emergency Room.
After hours messages sent to Dr. Srinivas Rao, Martin Mika, APN, Pollyanna Vujovic, MSN, FNP, PHMP-BC, Amy Drescher-Crumpley, APN will be responded to generally within one hour and may incur a fee. Here are a few examples you may want to consider before sending a message:
- Suspected side effects of a new medication or medication change are, in most cases, assessed without cost.
- Extended conversations may lead to a telephone consult charge.
- Urgent medication refills due to foreseeable circumstances (such as a vacation) will likely lead to a service fee.
As always, for life threatening situations or emergencies call 911 or visit the nearest Emergency Room.
No Shows, Late Cancels, and Urgent Prescription Refills Charges
We require 24- hour notice for cancellations and less than that is considered a late cancel. Our office policy is to charge for late cancels and no shows. You can call to cancel or reschedule during our regular business hours or you can leave a message with our answering service.
Urgent prescription refills are filled at the discretion of the prescriber and are not guaranteed. You may be charged an additional fee. If you need a rewrite of a written prescription there is a charge of $10.
We require 24- hour notice for cancellations and less than that is considered a late cancel. Our office policy is to charge for late cancels and no shows. You can call to cancel or reschedule during our regular business hours or you can leave a message with our answering service.
Urgent prescription refills are filled at the discretion of the prescriber and are not guaranteed. You may be charged an additional fee. If you need a rewrite of a written prescription there is a charge of $10.
Methods of Payment
We accept cash, personal checks and Visa and Master Card. Payment is due at the time of service unless other arrangements have been made. Payment is considered to be part of your treatment, so please help us to serve you better by paying your bill on time. There is a $40 fee for all returned checks. Co pays are due at the time of service.
Please call our Billing Department at (630) 443-4664 regarding questions or concerns you may have about your bill. They will be happy to assist you with such things as clarification of a bill you received, a payment plan you wish to establish or other billing issues you may have.
We accept cash, personal checks and Visa and Master Card. Payment is due at the time of service unless other arrangements have been made. Payment is considered to be part of your treatment, so please help us to serve you better by paying your bill on time. There is a $40 fee for all returned checks. Co pays are due at the time of service.
Please call our Billing Department at (630) 443-4664 regarding questions or concerns you may have about your bill. They will be happy to assist you with such things as clarification of a bill you received, a payment plan you wish to establish or other billing issues you may have.
Insurance
We accept assignment of insurance benefits only if we are contracted with your insurance company. You are responsible for your co-payments, deductible and any amount not covered by your insurance. If we are not a provider in your insurance company we ask that you pay, in full, at the time of service. It is the patient's responsibility to contact their insurance company to check on coverage and to obtain authorizations if necessary. Please provide us with any changes in your insurance or address, so we may successfully bill your insurance.
We accept assignment of insurance benefits only if we are contracted with your insurance company. You are responsible for your co-payments, deductible and any amount not covered by your insurance. If we are not a provider in your insurance company we ask that you pay, in full, at the time of service. It is the patient's responsibility to contact their insurance company to check on coverage and to obtain authorizations if necessary. Please provide us with any changes in your insurance or address, so we may successfully bill your insurance.
Managing Mental Health
Did you know that:
Source: National Institute of Mental Health Statistics
Breakthroughs in anatomical and functional imaging of brain processes are helping to eliminate the stigma associated with the fields of psychology and psychiatry. It is now well established in the scientific and research communities that many psychiatric disorders have strong medical and genetic influences. Education of the patient as well as the general public (the latter through public speaking and resources found on our website) is an integral aspect of In Step Associates' mission to provide highly effective and well respected mental health services.
Mental health disorders can impact our day-to-day behavior and function and intrude upon the decision-making process. When gone untreated, they can have detrimental effects which might include relationship/family conflicts, poor job/school performance, substance abuse or legal issues. Behavioral disorders require treatment based on severity, impact on functional level and level of discomfort to you and the people in your life.
Did you know that:
- One in four people is affected directly or indirectly by some form of mental illness.
- One in five over age 18 suffers from a mental disorder in a given year.
- Four of 10 leading causes of disability are mental illnesses.
- About 3% of the population has more than one mental illness at a time.
- About 5% of adults cannot function in society due to their mental illness.
- About 20% of doctors' appointments are related to anxiety disorders, such as panic attacks.
Source: National Institute of Mental Health Statistics
Breakthroughs in anatomical and functional imaging of brain processes are helping to eliminate the stigma associated with the fields of psychology and psychiatry. It is now well established in the scientific and research communities that many psychiatric disorders have strong medical and genetic influences. Education of the patient as well as the general public (the latter through public speaking and resources found on our website) is an integral aspect of In Step Associates' mission to provide highly effective and well respected mental health services.
Mental health disorders can impact our day-to-day behavior and function and intrude upon the decision-making process. When gone untreated, they can have detrimental effects which might include relationship/family conflicts, poor job/school performance, substance abuse or legal issues. Behavioral disorders require treatment based on severity, impact on functional level and level of discomfort to you and the people in your life.
Mental Health Resources
National Institute of Health Statistics
National Institute of Mental Health
Depression and Bipolar Support Alliance
Postpartum Depression Alliance of Illinois
National Alliance for the Mentally Ill
Mayo Clinic
WebMD
Alcoholics Anonymous
Survivors of Suicide
Overeaters Anonymous
Gamblers Anonymous
Children and Adults with ADHD
Under drug information
Drug Information
National Institute of Health Statistics
National Institute of Mental Health
Depression and Bipolar Support Alliance
Postpartum Depression Alliance of Illinois
National Alliance for the Mentally Ill
Mayo Clinic
WebMD
Alcoholics Anonymous
Survivors of Suicide
Overeaters Anonymous
Gamblers Anonymous
Children and Adults with ADHD
Under drug information
Drug Information
