Forms – The Serenity Center

New Patient Forms & Consent Forms

Please contact our office if you are unsure which forms you will need to complete prior to your appointment.

Please complete these forms to begin treatment at The Serenity Center. If you have questions, contact our office at 330-965-9999 for assistance.

Privacy & Patients Rights

Please complete this form as a certification that you understand your rights as a patient and the privacy regulations afforded to you.

Telepsychiatry Consent

Please complete this form for psychiatry telehealth appointments at The Serenity Center. If you have questions, contact our office at 330-965-9999 for assistance.

Telehealth Consent

Please complete this form for behavioral telehealth appointments at The Serenity Center. If you have questions, contact our office at 330-965-9999 for assistance.

New Patient Forms & Consent Forms

Insurances Accepted

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