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
Email or fax a copy of your insurance card (front and back)
Note: To download Adobe Acrobat Reader for free, click here.