UIC Department of Psychiatry

Please bring the following information:

• Your current insurance, Medicare, and/or Medicaid card
• If you have an HMO, you must bring the completed authorization form from your Primary Care Physician
• If you have an insurance policy with a co-pay portion, or if you are self-pay, you must pay your payment at the time of service 

It would be helpful if you could bring this additional information:

• Any / All medications you are currently taking
• Any medication bottles you might have for medications that you have taken in the past
• The name and contact number of your Primary Care Physician
• Any records you might have from other mental health providers you have seen in the past