Be aware that you are sending protected information if you complete these forms and email them. Please make sure you send it in an encrypted format.
To complete, please click on the link below labeled “New Client Intake Form.” Print and fill out the form, scan it to your computer, and email the completed form to intake@summit-psychological.com.
All new clients: please review the following documents for your reference. There is no need to complete or send these documents unless specifically instructed.
Please provide your name, email, phone number, and a detailed message containing your question, and we will contact you as soon as possible. For faster service, please visit our locations page to contact the nearest office.
Phone: (330) 535-8181
Address: 37 N. Broadway Street Akron, Ohio 44308
Business Hours:
By Appointment Only
Payment Options: