Thank you for choosing The Gentle Shepherd Counseling Center. To schedule your first appointment, please complete the consent form   below and one intake specialist will respond to you as soon as possible.  Please see our business hours for more information.
                                                     

                   Download the form below and email to:
                 Info@gsccohio.com
​
​


              Consent to Treatment - Adult


                                                                                                          Consent to Treatment - Child / Adolescent​ 

---

Notice: Weebly is a secure, encrypted website, but our email is not subject to the same level of security. However, any and all information provided through this intake is confidential and your responses will only be used by our office staff and counselors. We follow HIPPA regulations of client privacy and information security.