Schedule An Appointment

To request an appointment please fill in the following form.

All the clinicians at KidsLink are out-of-network medical service providers. This means that full payment will be due at the time of your appointment. You will be provided with a reimbursement form that you may submit to your insurance provider per the guidelines of your individual policy. Be sure to check with your insurance company for details regarding percent reimbursement for out-of-network services. Any questions, please call our office at 330-963-8600.

Please choose a service.

Has your child been seen by a KidsLink Service Provider before? Yes
Child’s Name:
Child’s Date of Birth:
Parent’s Name:
Phone Number:
E-mail Address:
Reason for Visit:
Additional Information: