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Education Portal

IntakeQ Questionnaires

Patient Intake Packet 3/2019
"In-Office" Informed Consent to Medical Marijuana Treatment 11/2018
Patient Monthly Progress Report 3/2019
Privacy Notice
PTSD Checklist for DSM-5 (PCL-5)
Authorization for Release of Health Information to ACC (In Accordance with the State of Ohio Medical Board)
ACC Expo Data

Consent Forms

Online Patient Agreement 3/2019
Payment Policy 3/2019

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North Canton, Ohio 44720

 

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