Phone: (419) 756-9975

Forms

These forms will be needed for your initial appointment. Please Bring completed forms or obtain at the office before your appointment.

Click on any of the images below to View/Download Forms in PDF file format.

thumbnail of Information-sheet — Information-sheet

thumbnail of Notice-of-Privacy-Practices — Notice-of-Privacy-Practices

thumbnail of LETTER-OF-AGREEMENT — Letter-Of-Agreement

Life Steps, Inc

605 South Trimble Road
Suite D
Mansfield, Ohio 44906

Call Us

Phone: (419) 756 - 9975
Fax: (419) 756 - 1405

Insurance

We take most major health insurance plans. We accept Medical Mutual, Anthem, Aetna, Cigna, United Behavioral Health, Medicare, Humana, and Tricare. We also take CareSource and Molina.