If you choose to participate in a telehealth session with your psychologist, please complete the Telehealth Consent Form and a form to put a credit card on file. Once complete please e-mail these forms to the office at admin@bethelolentangy.com. If you have any questions, please contact the office.
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Document Library
| Name | Description |
 | Child Patient Packet | Paperwork for new patients or returning patients that have not been seen in a years time who are under 18 years of age |
| Adult Patient Paperwork | Paperwork for patients that are 18 and older to complete as a new patient, returning patient that has not been seen in a years time, or a patient that has recently turned 18 years of age |
| Couples/Family Patient Packet | Paperwork for patients that are 18 and older to complete as a new patient, returning patient that has not been seen in a years time, or a patient that has recently turned 18 years of age |
| Adult Paperwork for Licensed Social Worker | Paperwork for patients that are 18 and older to complete as a new patient seeing Licensed Social Worker |
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If you have already scheduled a new patient appointment with the intake coordinator, complete the appropriate new patient paperwork found in the document library.
Completed paperwork can be emailed to admin@bethelolentangy.com
If you need to schedule a new patient appointment, complete the online intake form listed under the Intake tab or contact the intake coordinator at (614) 451-6606.
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