Are you a new patient who needs to send in a patient registration form? Do you need need to update the information we have on file? We’ve got what you need to get started. Simply click on the form that you need below, fill it out on your computer, print it out, then send it to our office by mail or via fax.

Business Office

Monday through Friday
9:00 am – 4:30 pm
440-951-5600

Psychiatric Care and Counseling Services: By appointment only
Appointments available seven days a week

Billing Department

Monday through Friday
9:00 am – 4:30 pm
(216) 276-4579

Intake Department

Monday through Friday
9:00 am – 4:30 pm
(440) 951-5600 ext. 118