Bethel Olentangy Psychological Services

Home

Services

Staff

Therapy Techniques

Resources

FAQ's

Insurance

New Patients

Forms

Contact

Payment

*ALL APPOINTMENTS ARE BEING CONDUCTED VIA TELEHEALTH *

New Patient Inquiry 
Please complete the information below if you are interested in scheduling an appointment and the intake coordiantor will contact you within 2 business days.


First Name
Last Name
Date of Birth
Parent/Guardian Name (If patient is a minor)
Phone Number() -
Address
City
State
Zip Code
Email
Brief description as to why you are seeking services
Insurance
How were you referred to our office?