Contact Us

Please Note:
Ravenwood Health cannot address an emergency through this form. If you are experiencing a MEDICAL EMERGENCY, please call 911. If you are in need of IMMEDIATE CRISIS COUNSELING please call the COPELINE at 1-440-285-5665 or 988.

This form should not be used to cancel appointments. To cancel an appointment please call (440) 285-3568.

Please allow 48 hours for a response.

Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

What county do you reside in? *

Subject*

Reason for your outreach*

General InquiryQuestion about Services offered at Ravenwood HealthI Would like someone to contact me to schedule an appointment for a new clientOther

What type of insurance do you have?*

Medicare or Medicare Replacement PlanMedicaid PlanCommercial Insurance--through your employer or purchasedNone

Message*