COLUMBUS BEHAVIORAL HEALTH 614.360.2600
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      • In person consent form
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      • Release of information ROI
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      • Right to good faith estimate
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    • ADHD Testing
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Paperwork/Forms

New patient paperwork
Please note: You need to REGISTER with a provider PRIOR to completing new patient paperwork.

Release of Information (ROI)
Authorization form that gives us permission to discuss your care with another individual/entity that you identify (physician, family member, another provider, etc.)

Telehealth Consent Form
New patients do not need to complete this form. It is included in the new patient paperwork packet.
This is only for current/returning patients who have not yet completed one.

Couples Counseling Paperwork
Both individuals need to complete a copy of this paperwork separately.
**We are NOT currently accepting new patients for couples counseling.**

LOCATIONS

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

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


CONTACT

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


Phones answered 9 am-5 pm, Monday-Friday, except holidays.
Messages/faxes received outside of these hours
​will be received and returned the next business day.

​We are NOT affiliated with Columbus Behavioral HOSPITAL/Sun Behavioral Health on Dublin Granville Road
​

Our Policies
Notice of Privacy Practices

 Good Faith Estimate
  • Home
  • ABOUT
    • About Us
    • New Providers in 2023!
    • Provider Directory >
      • Find a provider
    • Our Services >
      • Therapy
      • Psychiatric Medications
      • Nutrition Services
    • Employee Wellness Program
  • Patients
    • New Patients
    • Patient Portal
    • Instructions for Virtual Sessions
    • Current Patients
    • FAQ-- General
    • Insurance FAQ
    • Medication/Refills FAQ
    • Forms >
      • In person consent form
      • Policies and Informed Consent
      • Privacy Practices
      • Records Request
      • Release of information ROI
      • Request to change therapists
      • Right to good faith estimate
  • Providers
    • Referrals
    • Trainings
    • Provider Consultations
    • Join Our Team!
  • Resources
    • ADHD Testing
    • Addiction Services
    • Crisis/Inpatient Services
    • Children & Teens
    • EMDR
    • National Resources
    • Relationship Violence Resources
    • Support Groups
  • Store
  • Contact
    • Contact Info
    • Feedback