Intake Form

Fill out this form to initiate services and contact our intake coordinator.

Please give us as much non-confidential information as possible about your situation and what services or therapy you desire. Our intake coordinator will contact you within 2 working days with more information. Please keep in mind that email is not secure, nor HIPAA compliant.

If you would like to set up an in-person meeting with our intake coordinator and have a tour of our center, please let us know below. In-office meetings and tours can be arranged for most weekday mornings.

Call to schedule a visit at (216) 514-1600 or contact us.

Contact us

Our locations & contact details


25221 Miles Road | Suite F
Warrensville Heights, OH 44128
37701 Colorado Ave. | Unit D
Avon, OH 44011
Westside location - Avon Part 2
37450 Colorado Ave. | UP
Avon, OH 44011

Phone & Email

Warrensville & Avon Location:
Fax: 216-292-3291

Business Hours

Monday – Thursday
8.00am – 7.00pm
8:00am - 4:30pm
9:00am - 2:00pm

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