Helpful Forms

If you're a new client, please complete the following forms and bring them to your first therapy session.

New Client Forms


Note: To download Adobe Acrobat Reader for free , click here .

6822 Loop Road,
Centerville, Ohio 45458

4130 Linden Avenue,
Suite 306,
Dayton, Ohio 45432

107 Oregonia Road,
Suite D,
Lebanon, Ohio 45036

1450 East David Rd.,
Suite E,
Kettering, OH 45429

Contact Me

!
!
!

Please do not submit any Protected Health Information (PHI).

Availability

Primary

Monday  

8:00 am - 7:00 pm

Tuesday  

8:00 am - 7:00 pm

Wednesday  

8:00 am - 7:00 pm

Thursday  

8:00 am - 7:00 pm

Friday  

8:00 am - 7:00 pm

Saturday  

Closed

Sunday  

Closed

Call To Action