CONTACT US

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.

Please note: We are not currently accepting new clients under the age of 16.

Free Gender Affirming Letter Intake Form

In celebration of Pride 2021, for the month of June, Clintonville Counseling and Wellness will be offering FREE letter writing for all gender affirming procedures.

To schedule an appointment for an assessment for your letter, please complete the Free Gender Affirming Letter Intake Form here, and our Intake Coordinator will be in touch with you.

P: (614)948-7300

F: (614)948-7340

5354 N. High St. Ste 206

Columbus, OH 43214