Southwest Psychological Care

Mirjam Quinn, Ph.D.

Welcome!

Thank you for choosing me for your care. I strive to create a safe, comfortable environment in which to provide my clients with empathic, state-of-the-art care for a variety of concerns. This information sheet is designed to familiarize you with my practice and to answer frequently asked questions.

Locations and Logistics

I maintainone office location, at 1522 S. Cicero Ave., Suite 305, in Oak Lawn, IL, 60453. When you arrive for your appointment, please take a seat in the waiting area, where I will meet you at your scheduled time. I attempt to offer regularly scheduled appointment times for my clients insofar as this is possible.

Contacting Me

Please feel free to contact me at 773-474-9840 with any concerns or questions you may have. You may also email me at ; however, please be advised that email is not a secure mode of communication and thus you may want to restrict its use to scheduling questions only. I will typically return your call or respond to your email within 24 hours on business days.

Confidentiality

Please note that all information you share with me will remain confidential and secure, unless:

  1. said information is subpoenaed by a court,
  2. failing to disclose this information would put you or another person at risk, or
  3. your prior approval has been obtained to share this information with another person (please note that, in order to file your insurance claims, I must disclose some information, including any diagnoses, with your insurance provider).

Fees

The initial diagnostic session is billed at $225. Thereafter, sessions are billed at $150 for 45-minute sessions, and at $200 for 60-minute sessions. There is a BCBSIL PPO rebate.

Financial Policy

BCBSIL PPO clients: Please note that your copay is due in full at the time of service. Payments may be made via cash, check, or credit cards. If you choose to pay by checks, please make your check out to Mirjam Quinn, Ph.D. I use Netsource Billing, LLC, as my billing company. Please contact Netsource Billing at 1-866-441-1591 with any questions about the billing process.

Cancellation Policy

If for any reason you need to cancel or reschedule an appointment, please provide me with at least 24 hours notice (48 hours on weekends) by either calling my cell phone or emailing me at . Cancellations or changes to appointments with less than 24 hours’ notice will be charged at the full fee.

Please provide your signature below to indicate that you have reviewed and understand the practice policies and procedures, and have had the opportunity to review them with me.

______

Thank you! I look forward to working with you!

Mirjam Quinn, Ph.D.

10522 S. Cicero Ave., Suite 305

Oak Lawn, IL, 60453