Admission Forms - General

Admission Forms

Before your first appointment with CG&FS you must complete a Client Questionnaire. There are separate forms for children, birth to age 17, and adults, age 18 and older. Questionnaires are attached to admission forms.

Completed admission forms may be returned to CG&FS in advance of your first appointment by mail to:
Child Guidance & Family Solutions
Admissions Department
18 N. Forge Street
Akron, Ohio 44304

If you prefer, you may drop off the completed paperwork at any CG&FS location or bring it along with you to your first appointment.

Next Steps

Quality & Compliance

If you have a concern about patient care or quality of care, we would like to hear from you.

Any concerns about patient safety and quality of care can be directed either to the CGFS Director of Quality & Compliance, Dr. Timothy Bartlett, at 330-762-0591, or to our accrediting body, The Joint Commission. There are three ways to contact The Joint Commission:

  • At www.jointcommission.org, use the “Report a Patient Safety Event” link in the “Action Center” on the home page of the website
  • By fax to 330-792-5636
  • By mail to Office of Quality and Patient Safety, The Joint Commission, One Renaissance Boulevard, Oakbrook Terrace, IL 60181

Services Brochure

To learn more about CG&FS and our servces and programs, please download our agency brochure.