Become a New Patient
If you or a family member are interested in becoming a patient in our practice, simply submit the "New Patient Registration Form" below and you will be contacted to schedule an initial intake appointment.
New Patient Registration Form
We apologize, but due to overwhelming demand we are currently only accepting new medication management referrals for adolescents and adults for our Mansfield office AND medication management referrals for children/adolescents for our Trueman (Hilliard) office.
We apologize, but due to overwhelming demand we are currently only accepting new medication management referrals for adolescents and adults for our Mansfield office AND medication management referrals for children/adolescents for our Trueman (Hilliard) office.
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Please DO NOT use this email address for medication refill requests or for emergency situations. Click here for refill requests instead of using email: Medication Refill Request Form If you have a medical emergency, email is never the appropriate way to communicate your needs, and you should instead call 911 or go to the nearest ER. If you are having suicidal thoughts and need to speak to someone immediately, you can contact Suicide Prevention Hotline at the number (and link) below. PATIENT@PROVIDERSFORHEALTHYLIVING.COM
Communications via email are not secure. Although it is unlikely, there is a possibility that the information you include in an email can be intercepted and read by other parties besides the person to whom it is addressed. |
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2019 | Providers for Healthy Living | All Rights Reserved
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