top of page
logo

Client Resources

Important Links
Join your session
Payment portal

New Client Forms

Please review and complete the forms below prior to your first session.

Filling Checklist Form

Intake Form

This helps me learn a little bit about you before our first session.

Stacked Vinyl Records

Telehealth Informed Consent

This document explains the services I provide, your rights as a client, and information about participating in counseling via telehealth.

Download
Colorful File Binders

Notice of Privacy Practices

This notice describes how your health information may be used and disclosed, and how you can get access to this information.

Download
Online Payment Process

Billing & Authorization Form

This document explains how your health information may be used to bill third parties when applicable, your financial responsibility, and our cancellation/no-show policy.

Download

Get in Touch

Whether you're ready to book a session or still have some questions, I'm here to support you.

 

Feel free to reach out via email at any time!

Contact Me
Email

counseling@rachel-yost.com

Location

Based in Massillon, OH.
Licensed for Telehealth throughout Ohio.

Scheduling

Appointments available on Mondays, 9:00am - 5:00pm.

bottom of page