Client Intake

In order to schedule an appointment for counseling services, please complete our Intake Form online.  Once received, our Intake Coordinator will contact you for further information and to schedule your appointment.  

If you have any questions about any of our forms, please contact a member of our staff for more information. 

The Welcome Packet is for your review only.  You do not need to print the Welcome Packet.

The Adult or Child History form and Consent for Treatment form is required at the time of the first appointment.  These forms provides us with the necessary information to complete your assessment.  Please take your time in completing the forms. 

Arriving early with your Picture ID, Insurance Card, Intake paperwork and copay will assist your therapist in completing your assessment and ensuring your initial appointment is completed in a timely manner while addressing your initial needs.   

Contact Us: 
(614) 948-3273
Child, Adolescent, and Adult Counseling

Make Mental Health Affordable and Accessible For All