COLUMBUS BEHAVIORAL HEALTH 614.360.2600
  • Home
  • About
    • About Us
    • Our Providers
    • Services >
      • Therapy
      • Psychiatric Medications
      • Nutrition Services
      • Trainings
  • Appointments
    • New Patients
    • Current Patients
    • Patient Portal
    • Insurance
    • Password Reset
    • COVID-19 Response
    • Instructions for Virtual Sessions
    • Blueprint FAQ
  • Paperwork/Forms
    • New patient paperwork
    • Couples counseling paperwork
    • Telehealth Consent Form
    • Release of information ROI
    • In person consent form
    • Privacy Practices
    • Policies/Service Agreement
    • 2021 Info Update Form
  • Referrals
  • Resources
    • ADHD Testing
    • Addiction Services
    • Crisis/Inpatient
    • 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
  • Contact
    • Contact Info
    • Feedback
    • Join Our Team!

Paperwork/Forms

Paperwork/Forms

New Patient Paperwork for Individual Counseling
New Patient Paperwork is to be completed AFTER you have registered online by following the steps on the New Patient page or have called in and registered over the phone. The bio forms listed in the portal are NOT the new patient paperwork. Bio forms are optional; new patient paperwork is required.

New Patient Paperwork for Couples Counseling
You AND your partner/spouse need to complete a set of this paperwork, separately.
 
Telehealth Informed Consent 
Required for everyone receiving telehealth services

Authorization for Release of Information (ROI)
 Release of Information is OPTIONAL, if you have someone you want us to share your information with (physician, family member, another provider, etc)



In-person Consent during Covid-19 
Only to be completed by existing patients with unique circumstances who have made special arrangements with their provider to be seen in person.

For internal providers only: In-Person Appointment Checklist
​Only to be completed by internal providers

Policies/Psychological Services Agreement
​Notice of Privacy Practices
Columbus Behavioral Health
​Phone: 614-360-2600
​Fax: 844-320-2600


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

Dublin Location:
6631 Commerce Parkway
Suite R
​Dublin, OH 43017

​
New Albany Location:
5071 Forest Drive
​Suite B

New Albany, OH 43054

​
Westerville  Location:
635 Park Meadow Road
Suite 101
Westerville, OH 43081
​
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.

​Our Policies
Notice of Privacy Practices
  • Home
  • About
    • About Us
    • Our Providers
    • Services >
      • Therapy
      • Psychiatric Medications
      • Nutrition Services
      • Trainings
  • Appointments
    • New Patients
    • Current Patients
    • Patient Portal
    • Insurance
    • Password Reset
    • COVID-19 Response
    • Instructions for Virtual Sessions
    • Blueprint FAQ
  • Paperwork/Forms
    • New patient paperwork
    • Couples counseling paperwork
    • Telehealth Consent Form
    • Release of information ROI
    • In person consent form
    • Privacy Practices
    • Policies/Service Agreement
    • 2021 Info Update Form
  • Referrals
  • Resources
    • ADHD Testing
    • Addiction Services
    • Crisis/Inpatient
    • 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
  • Contact
    • Contact Info
    • Feedback
    • Join Our Team!