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Printable Patient Forms

Patient Information Form
PCP Release Form

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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