For Our Current Patients
We are glad that you have entrusted us with your care. We strive to live up to our goal of instilling hope into every interaction with you.
Providing quality, evidence-based interventions in a caring environment.
|
|
|
|
|
If you need a medication refill, ADHD rating scales for you or your child's teachers, or a release of information form, the links are located below.
|
We always appreciate and welcome your feedback, so feel free to send us an email if there are other items you'd like to see in this section of our website or have suggestions about how we can improve our services or operations.
Our CEO would love to hear your feedback. Email your feedback here. |
|
|
Current Patient Forms - Locate the form that you need and then click on it to access it.
|
CLICK HERE to Complete a NEW PATIENT REGISTRATION FORM Today and Get Help Soon!
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.
Follow Us On Social Media!
|
|
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. |
|
2019 | Providers for Healthy Living | All Rights Reserved
|
|