Upon submitting this form you will automatically be taken to the Client Financial Responsibility Form.
All forms must be completed and signed no later than 48 hours prior to your first appointment to avoid delays or rescheduling.
Complete forms online through our secure patient portal.
If you need assistance or prefer to fill them out in person, please contact our office at
330-862-8848 or 888-560-8848 or email hello@cornerstonewc.com
If you have any questions about these forms or need clarification, please don’t hesitate to reach out. Our administrative team is happy to assist.
OUR MAIN OFFICE
4018 Medina Road, Suite D
Medina, OH
United States of America
We Work for You Every Day
from 8.00 AM to 6.00 PM
https://megafluence.co