top of page
Succulents

Appointment Request

At this time, only medication management appointment requests are accepted. Please check back 11/15/26 for therapy appointment availability.

​

The link below will take approximately 10 minutes to complete.

For your convenience, please have Insurance card and ID ready to upload electronically. 

If you need assistance completing this form please contact the office. 

Accepted Insurances

Logo icon
  • Aetna

  • Anthem

  • BCBS / Medical Mutual Ohio

  • Buckeye

  • Caresource

  • Healthscope

  • Optima / Ohio Healthy

  • Optum / United Health Care / UMR

    • Does not cover ADHD or ASD testing billed by a psychiatrist​

  • Molina

    • Does not cover ADHD or ASD testing​

NEXT PAGE: SELF PAY RATES

bottom of page