.png){kind=small}
Mental Health Services Forms
If you are seeking mental health services please click below on the three intake forms. Printing out and completing the forms will allow you to save much time at your first visit. Please print all the forms and complete/sign them where indicated. Bring the forms to your first session and turn them into the secretary.
Chemical Dependency Services Forms
If you are seeking chemical dependency services please click below on the five intake forms. Printing out and completing the forms will allow you to save much time at your first visit. Please print all the forms and complete/sign them where indicated. Bring the forms to your first session and turn them into the secretary.
Fees & Insurance
-
Fees for services are covered, fully or in part, by most health insurance plans.
-
We accept most major credit cards.
-
A self-pay rate is available for patients without insurance coverage.
-
We welcome Medicare Patients
Please don’t hesitate to contact us at any time with questions or concerns regarding insurance or our fees for any service.
Psych & Psych list of accepted insurances:
-
Caresource Medicaid and Marketplace
-
Healthy Humana Horizons
-
Anthem Medicaid
-
Buckeye
-
Ambetter Buckey Marketplace
-
Molina Healthcare Medicaid and Marketplace
-
United Healthcare Community Plan
-
Aetna Ohio Rise Medicaid
-
Amerihealth Caritas Ohio
-
Ohio Department of Human Services
-
Medicare
-
AARP
-
Medical Mutual of Ohio
-
Mutual Health Services
-
Anthem Blue Cross Blue Shield
-
Optum
-
United Behavioral Health
-
United Health Care
-
GEHA
-
United Medical Resources
-
Aetna
-
Meritain Health
-
TriCare Health Benefits
-
Humana Military
-
SummaCare
-
Magellan
-
Cigna
​
The plans we accept are not limited to this list. While we do accept most insurance and plans, we will ask for specific insurance information to ensure we are in network with your specific plan.
