Western Reserve Psychological Associates, Inc., Stow, OH                  Forms and Patient Portal   

Intake forms need to be completed by each new client at Western Reserve Psychological Associates, Inc., as well as former clients who are returning to the practice after a six-month or longer absence.

All of our forms are accessible on our patient portal. To access our patient portal, please contact our office with your email address and request a welcome email. If you prefer paper forms, you may print out the intake forms below and bring them into our office.

Please fill them out and return to our office at least 24 hours before your first appointment.

• If the patient is under the age of 18, you will need to complete the Child/Adolescent Intake Forms below.
• If the patient is 18 years of age or older, you will need to complete the Adult Intake Forms.
• If you are between the ages of 18 and 26 and are using your parents’ insurance, you will also need to complete Authorization to Exchange Info with Parents for billing purposes only.
• If you will be seen for couples counseling, family therapy, or group therapy, please also complete the Couples/Family/Group Treatment Agreement.
  

The Updox patient portal will be discontinued beginning December 16, 2024. https://westernreservepsychologicalassociatesinc.updoxportal.com/login