(216) 242-6662 |
info@clevelandcounselingcenter.com

Cleveland Counseling Center

  • Cleveland Counseling Center
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    • Dr. Sara Roth
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  • Getting Started
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Client Forms

When you reach out to schedule, you will receive an email with the forms to fill out online. The following are additional forms that you may fill out at some point during the duration of therapy if you did not fill out before therapy began.

If we are conducting teletherapy sessions, please read and sign this consent form.

Teletherapy Consent Form

If there is an additional provider that you would like for me to collaborate with, please fill out the following form.

Authorization for Release of Information

If you are ready to experience what therapy can do for you, contact me today for a free 10 minute phone consultation to learn more.

contact me for more information

Cleveland Counseling Center


(216) 242-6662
info@clevelandcounselingcenter.com

23360 Chagrin Boulevard,
Suite 102
Beachwood, OH 44122

CONTACT ME TODAY!

Office Hours

Evening & Weekend Appointments Available Upon Request

CONTACT ME TODAY!

Find The Office

Contact Information

(216) 242-6662 info@clevelandcounselingcenter.com


23360 Chagrin Boulevard,
Suite 102
Beachwood, OH 44122

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