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Our Online Forms

Authorization & Consent For Release Of Information

Credit Card on file/payment Authorization

Telehealth Services

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Before your first Telehealth session, please complete the Telehealth informed consent form linked below and review our guidelines on how to prepare.

Telehealth Consent Form

How to Prepare for Your First Telehealth Session

Lima Location (Main Office)

2963 Blue Jacket Court

Lima, Ohio 45806

(419) 581-9138

Findlay  Location

1219 W. Main Cross St. | Suite 201

Findlay, OH 45840

*Located in the TLB Building

Van Wert Location

605 North Franklin St.

Van Wert, OH 458901

*Located in Trinity Friends Church

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cornerstoneofhope.org

© 2023 Cornerstone of Hope​

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