Our team of caring, licensed professionals is ready to serve you and meet with you at the Emerge Counseling center in Akron, Ohio. During this time of phased reopening in the state of Ohio, we kindly ask our in-person patients to wear a mask to your appointment for the safety of you and others.
When completing the registration form, you will be asked to upload scanned copies of various documents and files. We recommend downloading the Adobe Scan app for your iPhone or Google/Android device to take and upload photos instantly from your phone as PDFs.
Complete the online registration form to start the process for booking your appointment.
After completing the registration form, download the Welcome Letter for introductory instruction.
Fill out and submit the Client Consent form prior to your first appointment.
Fill out and submit the appropriate online Health History Form prior to your first appointment, as well as the HIPAA Acknowledgement & Authorization form.
Optional: Complete the Release of Information Authorization form if you are needing your information sent to a third-party.
Having trouble viewing our PDF forms? Download Adobe Acrobat Reader for free to open PDF documents.