Copyright © 2018 Crossroads Counseling Group

Website by Makeshark

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Dublin Office

(Administration)


270 Bradenton Ave,

Suite 110

Dublin, OH 43017

Phone: (614) 263-8161

Fax: (614) 263-8268

Clintonville Office

 


3620 N. High St

Suite 107
Columbus, OH 43214

 

Phone: (614) 263-8161

Fax: (614) 263-8268

Contact Information

In order to make the intake process more convenient and time-efficient for you, we have posted our paperwork forms here, so that you can print and complete them at your convenience before coming in for your first appointment—If you fill it out, but forget to bring it in, you will need to fill it out again when you arrive.

New Counseling Process

Adult Client

If you are a new adult client preparing for your first appointment with a therapist at Crossroads, please print and complete the listed forms:

  1. Welcome and Consent
     

  2. New Client Information
     

  3. Adult Client Self-Report (helpful, but not required)
     

  4. Symptom Checklist (optional, upon therapist direction)
     

  5. Questionnaire (optional, upon therapist direction)

Parent or Guardian

 

If you are the parent/guardian of a minor who is about to begin counseling, please complete the following two forms:

  1. Welcome and Consent
     

  2. New Client Information