REGISTER AS A NEW PATIENT

BECOME A NEW PATIENT

Complete the forms below in advance of your first appointment or arrive 20 minutes early for your first session and complete them when you arrive.   Please find the following attachments available for download:

 

FOR YOUR FIRST VISIT

  • Plan to arrive early

  • Call in advance if you need to cancel or change your appointment 

  • Make sure you know your benefits ahead of time

  • Obtain an authorization from your insurance company

  • Bring you health insurance card and authorization information 

  • Read the policy on privacy (attached)

  • Complete the Patient Registration and Wellness History - and sign it

  • Know your co-payment and deductible responsibility in advance - The office expects co-payments and unmet deductibles to be paid at the time service is rendered.   

       CALL 

Tel: 216.382.2929

EMAIL 
BUSINESS  HOURS

By Appointment Only

OVER 25 YEARS EXPERIENCE

Confidential, easily accessed mental health services

SERVICES PROVIDED

INDIVIDUAL THERAPY

COUPLES AND FAMILY THERAPY

EMPLOYEE ASSISTANCE

PSYCHOLOGICAL EVALUATION

GROUP TREATMENT

WORKPLACE CONSULTATION

CONVENIENTLY LOCATED

6133 Rockside Road, Suite 207, Independence, Ohio 44131-2242

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All rights reserved © 2017   Website created by Dr. Benita Chernyk