Registration Form

Release of Information

Fees Form

Behavioral Support

MACSIS Verification

MACSIS Disclosure

Health Information Disclosure

Permission for Treatment

Client Rights Handbook

Notice of Privacy Practices



Referral Form


 







 
OFFICES
Summit County Office
4526 Stow Rd.
Ste. #A
  Stow, Ohio 44224
Goodwill Campus  
408 9th St. SW     
 Ste. #1610
Canton, Ohio 44707
The Children’s Network
 213 Market Ave. N
Ste. #200
Canton, Ohio 44702  
Key Bank Building  
145 North Chestnut
Ste. #203     
Ravenna, Ohio 44266