Adult 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.

Adult Consent 2022
File Size:	112 kb
File Type:	pdf

Download File

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Couples Consent 2022
File Size:	153 kb
File Type:	pdf

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Late Cancel Payment
File Size:	136 kb
File Type:	pdf

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Family Consent 2022
File Size:	140 kb
File Type:	pdf

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Policies and Procedures
File Size:	546 kb
File Type:	pdf

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Marriage Consent 2022
File Size:	95 kb
File Type:	pdf

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Telehealth Consent 2022
File Size:	202 kb
File Type:	pdf

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Self Pay Form
File Size:	213 kb
File Type:	pdf

Download File

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HICF 2022
File Size:	524 kb
File Type:	pdf

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Release of Information 2022
File Size:	155 kb
File Type:	pdf

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Adult Intake Checklist 2022
File Size:	348 kb
File Type:	pdf

Download File

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