Schedule Appointment

Step 1: Complete Form Below
Step 2: We will contact you either by text or call (your preference) to answer any questions and match you to a counselor
Step 3: We will electronically send new client forms and schedule your first appointment.

* Indicates required field

Name *

First

Last

DOB *

Phone Number *

Email *

Name of Insurance Coverage *

Which office location do you prefer to schedule? *

Please choose your Appointment Availability *

Best way to contact you *

Reason(s) for counseling. Please specify if counseling will be for only you or include others. *

Submit

Call: (330) 645-9975 Email: [email protected]

Portage Lakes: 4367 State Rd.
Stow: 4466 Darrow Road, Suite 10