Intake Form

If you are interested in receiving counseling from Clintonville Counseling and Wellness, please click here to complete our intake form and our Intake Coordinator will be in touch with you shortly.

Gender Affirming Letters

If you are looking for a free gender affirming letter for transition related medical services please fill out this form. If you are looking for ongoing counseling services, please fill out our intake form.

P: (614)948-7300

F: (614)948-7340

5354 N. High St. Ste 206

Columbus, OH 43214