QUESTION? Email patient@hope419.com.
Patient Resources
Virtual Visit Links
VIRTUAL REQUIREMENT:
According to the Ohio State Medical Board and the Ohio Counselor & Social Work Board,
you must be physically in the state of Ohio at the time of your virtual visit.
LATE CANCEL AND NO SHOW FEES:
$125 fee for all no show appointments, initial and follow up visits
$150 fee for all no show appointments, ADHD testing and TMS visits
$50 fee for all late cancellations, defined as cancelling less than 24-hours before confirmed appointment
$20 fee for all no show group therapy appointments
Meet with our Medication Providers:
Meet with our therapists:
Medication refills
Will you be out of your medication before your next appointment?
Click your clinician refill button below to request a refill online.
Important Office forms
**If marked with an asterisk, it is a required form for all new patients.**
incident billing forms
other forms
Completed Forms Upload Station
Forms can also be uploaded directly to your chart in the patient fusion portal under "more".