The future depends onwhat you do in the present.
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Helpful Forms

During this time of the Covid-19 pandemic and you are a new client,  we would like you to please print and fill out the appropriate forms (Coaching or Therapy, PDF format) and email or fax them back before your scheduled telehealth (phone or video) appointment. Thank you.

Email forms:  [email protected] 

Fax forms:  216-831-1269

         COACHING CLIENTS:

          Coaching Client Intake Form

          Coaching Goal Setting Worksheet

Coaching New Client Questionnaire     


         THERAPY CLIENTS:

Therapy Client Intake Form Page 1

          Therapy Client Intake Form Page 2

          Therapy Client Intake Form Page 3

          Therapy Client Intake Form Page 4

         Email or fax a copy of your insurance card (front and back)

    Note: To download Adobe Acrobat Reader for free, click here.

 

 

Helpful Forms

Click here to view and print forms for your appointment.

CLICK HERE