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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

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

CANFIELD OFFICE

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

Mon.-Thurs. 8am-8pm

Fri. 8am-5pm

Closed Saturday

Closed Sunday

PAYMENT TYPES

Insurance,

Personal Checks,

All Major Credit Cards,

& Debit

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© 2026 Preferred Care Counseling

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