COLUMBUS BEHAVIORAL HEALTH 614.360.2600
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Click on the button below to access the form.
Attention new patients: This form is part of the new patient paperwork packet. You do not need to do this form separately.
Telehealth Consent Form

LOCATIONS

​ALL APPOINTMENTS ARE CURRENTLY VIRTUAL,
​NOT AT THE OFFICES


124 County Line Road West, ​Suite B
Westerville, OH 43082​


​​5071 Forest Drive, ​Suite B
New Albany, OH 43054


We closed our Dublin office in November 2021.
​Those providers have moved to the Westerville location.
​(All appointments are currently virtual.)

​
CONTACT

​
Phone: 614-360-2600
​Fax: 844-320-2600


Phones answered 8 am-5 pm, Monday-Friday, except holidays.
Messages/faxes received outside of these hours
​will be received and returned the next business day.

​Columbus Behavioral Health is an association of Independent Practitioners.
​The therapists affiliated with Columbus Behavioral Health, Inc. are independent contractors who each operate their own legally separate businesses, but who have agreed to cooperate jointly for operational and other purposes, ​including to engage in quality assessment and improvement activities.


​Our Policies
Notice of Privacy Practices
​
Right to receive a Good Faith Estimate of expected charges, if you do not have, or are not using, insurance
The information on this website is intended for instructional purposes only and is not intended as a replacement for therapy or treatment.
​If you are a danger to yourself or others, go to your local ER to be assessed immediately.
Updated 2022
  • Home
  • About
    • About Us
    • Our Providers
    • For Patients >
      • New Patients
      • Patient Portal
      • Instructions for Virtual Sessions
      • Medication/Refill Questions
      • Insurance
      • FAQ Current Patients
      • COVID-19 Response
    • For Professionals >
      • Trainings
      • Provider Consultations
      • Join Our Team!
    • Employee Wellness Program
    • Services >
      • Therapy
      • Psychiatric Medications
      • Nutrition Services
  • Referrals
  • Forms
    • Release of information ROI
    • Records Request
    • In person consent form
    • Privacy Practices
    • Policies and Informed Consent
    • Right to good faith estimate
    • Request to change therapists
  • Resources
    • ADHD Testing
    • ADHD Medication
    • Addiction Services
    • Crisis/Inpatient Services
    • Self Help >
      • Adults >
        • Abuse/Violence
        • Academic Problems
        • Addictions
        • Adjustments
        • Anxiety
        • Athletes
        • Bipolar Disorder
        • Breakups
        • Career/Job
        • Depression
        • Family of Origin Issues
        • Food/Body Image
        • Gender issues
        • Grief & Loss
        • Postpartum Issues
        • Relationship Problems
        • Stalking
      • Children/Families >
        • ADHD/Concentration
        • Childhood Anxiety
        • Depression
        • Children & Divorce
        • Eating Disorders in Children
        • Kids & Friend Problems
        • Learning Problems
        • Teen Dating Violence
      • Couples >
        • Addiction
        • Connection Difficulties
        • Conflict
        • Infidelity Recovery
        • Infertility
    • Videos
    • Children & Teens
    • National Resources
    • Relationship Violence Resources
    • Support Groups
    • Vaccine Info
  • Store
  • Contact
    • Contact Info
    • Feedback