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Patient Forms

Getting started is simple. Choose in-person or tele-therapy scheduling below, or complete your patient forms ahead of time to save time at your first visit. If you have questions about insurance, paperwork, or what to expect, call your nearest office - our staff is happy to walk you through it.

Book an In-Person Appointment

Book a Tele-Therapy Appointment

Patient & Release Forms

Patient Agreement

& HIPAA Information

View of the City

POLAND OFFICE

3292 Stones Throw Ave. 
Poland, OH 44514
330-757-3975

Mon.-Thurs. 8am-9pm

Fri. 8am-5pm

Sat. 8am-1pm

Closed Sunday

PAYMENT TYPES

Insurance,

Personal Checks,

All Major Credit Cards,

& Debit

HOWLAND OFFICE

425 Niles Cortland Road SE Suite 201
Warren, OH 44484
330-856-3975

Mon.-Fri. 7:30am-8pm

Sat. 9am-2pm

Closed Sunday

988 LIFELINE

If you need to talk, the 988 Suicide & Crisis Lifeline is here 24/7. Dial or Text 988. Visit https://988lifeline.org/ to chat now.

CANFIELD OFFICE

6715 Tippecanoe Road Ste F200
Canfield, OH 44406
330-967-4957

Mon.-Thurs. 8am-8pm

Fri. 8am-5pm

Closed Saturday

Closed Sunday

HUBBARD OFFICE

937 W. Liberty St.

Suite 4A

Hubbard, OH 44425
330-856-3975

Fax 330-856-3976

Scheduling Handled by the Howland Office

Open by Appt. Only

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© 2026 Preferred Care Counseling

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