Please click on the appropriate LINK below to print your paperwork. Complete and send to Client Registration office. The Registration form and the below forms much be received before the first appointment can be scheduled.
Please note: We cannot guarantee that your email server meets the privacy standards of the HIPAA security guidelines. If you are concerned with the security of your information, we recommend that you mail or bring the forms to the Akron office in person.
Current Custody Documents are required if the client is a minor with divorced parents or if the client is under the care of a guardian or Children’s Services. This helps us to appropriately determine consent for care and access to confidential information. Please submit the full document along with the below forms.