FORMS

Download Intake Forms

Adult Individual Forms

INFORMATIONAL LETTER ONLINE FORM ADULT QUESTIONNAIRE ONLINE FORM NOTICE OF PRIVACY ONLINE FORM STATEMENT OF CONFIDENTIALITY ONLINE FORM FINANCIAL ARRANGEMENTS ONLINE FORM HEALTH INSURANCE INFORMATION FORM PRIMARY CARE PHYSICIAN FORM ONLINE FORM GOOD FAITH ESTIMATE

Child/Adolescent Individual Forms

INFORMATIONAL LETTER ONLINE FORM CHILD QUESTIONNAIRE ONLINE FORM NOTICE OF PRIVACY ONLINE FORM STATEMENT OF CONFIDENTIALITY ONLINE FORM FINANCIAL ARRANGEMENTS ONLINE FORM HEALTH INSURANCE INFORMATION FORM PRIMARY CARE PHYSICIAN FORM ONLINE FORM GOOD FAITH ESTIMATE

Marriage Counseling

INFORMATIONAL LETTER ONLINE FORM ADULT QUESTIONNAIRE ONLINE FORM NOTICE OF PRIVACY ONLINE FORM STATEMENT OF CONFIDENTIALITY ONLINE FORM FINANCIAL ARRANGEMENTS ONLINE FORM HEALTH INSURANCE INFORMATION FORM PRIMARY CARE PHYSICIAN FORM ONLINE FORM GOOD FAITH ESTIMATE

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CONTACT INFORMATION

Phone: 330-896-0856

Address: 1790 Town Park Blvd., Ste. C

Uniontown, OH 44685

Fax: 330-896-0887

Business Hours:

Mon - Thu: 9:00 am - 8:00 pm
Fri - Sat: 9:00 am - 5:00 pm
Sunday: Closed

OUR LOCATION

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