Appointments: 740-335-0886
616 Willard St.,
Washington Court House, OH 43160

Forms & Policies


Consent to treat minors


New Patient Health History

Patient Registration

Record Release

Anxiety Screen - SCARED survey- Parent Response

Strengths and Difficulties Questionnaire - Age 11-17 Parent Version

Strengths and Difficulties Questionnaire - Age 4-10 years

Strengths and Difficulties Questionnaire - Age 11-17 years Child Version

ADHD Tool- Parent Version

ADHD Tool - Teacher Version