jpark@parksaltzmanpsych.com | (614) 929-5170
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Make an Appointment: jpark@parksaltzmanpsych.com | (614) 929-5170
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4929 Dierker Rd. Suite A | Upper Arlington, OH 43220
jpark@parksaltzmanpsych.com | (614) 929-5170

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  • Home
  • Bio
  • Services
    • Individual Therapy
    • Telehealth Service
    • Presentations
  • FAQ
  • Resources
    • Mental Health
    • Grief & Loss
  • Contact
  • Facebook
  • Instagram
  • LinkedIn
(614) 929-5170

jpark@parksaltzmanpsych.com

Client Forms

If you are new, please be sure to fill out the following forms, and bring them to your first session. This will help ease you in and allow as much time as possible to focus on you.

  • Client Intake Form
  • Information Sheet
  • Limits of Confidentiality

If you feel that you would like to collaborate your session with another provider, simply fill out the following form.

  • Authorization for Release of Information

Contact Today

4929 Dierker Rd. Suite A
Upper Arlington, OH 43220
(614) 929-5170
jpark@parksaltzmanpsych.com

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