The Gentle Shepherd
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CLINICIANS
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FAQ
New Client Forms
Adult Forms
Adolescent Forms (13-17)
Child Forms (12 and Below)
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Intake Scheduling
Adolescent Intake Forms
Please fill out the attached forms that apply to you and download them to your device. Once finished you may send them to
info@gsccohio.com
or call our main office at 330-499-3065 if you need assistance.
Adolescent Consent 2022
File Size:
108 kb
File Type:
pdf
Download File
Adolescent History 2022
File Size:
251 kb
File Type:
pdf
Download File
Policies and Procedures
File Size:
546 kb
File Type:
pdf
Download File
Health Insurance 2022
File Size:
524 kb
File Type:
pdf
Download File
Release of Information 2022
File Size:
155 kb
File Type:
pdf
Download File
Self Pay 2022
File Size:
213 kb
File Type:
pdf
Download File
Teen Checklist 2022
File Size:
411 kb
File Type:
pdf
Download File
Telehealth Consent 2022
File Size:
202 kb
File Type:
pdf
Download File
Late Cancel Payment
File Size:
136 kb
File Type:
pdf
Download File
Home
CLINICIANS
About
FAQ
New Client Forms
Adult Forms
Adolescent Forms (13-17)
Child Forms (12 and Below)
Contact
Intake Scheduling