Mercy House of Meadville, Inc Restoring Hearts and Homes

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ONE STEP CLOSER To a Brighter Tomorrow
Mercy House of Meadville, Inc
814-337-6180
13180 Leslie Road
Suite 2
Meadville, PA 16335
US
info@mercyhousemeadville.com

If you're a new client, please complete the following forms and bring them to your first therapy session.

  • Mental Health Counseling Client History Form
  • Substance Abuse Intake Form

If you would like us to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

  •  Primary Care Physician Release Form
  •  Insurance Release Form
  •  HIPAA Privacy Form


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