*Please note, we are not accepting any requests for ADHD assessments at this time.
(to be completed by a healthcare provider)
In order to ensure a safe and supportive transfer of services for your client, we request referral sources complete the External Referral Form for Outpatient Services. Our Intake Team will contact the client directly and inquire as to any accommodations they may need, inform them of fees, and schedule them with an appropriate clinician. If you would like to discuss your referral with a member of our Intake Team, they can be reached at (614) 849-8204.
Please submit the completed form via fax to (844) 272-9333
Notice of Privacy Practices
To view Nemeth Counseling's Notice of Privacy Practices, please click on the link below: