*Please note, we are not accepting any requests for ADHD assessments at this time.

New Client Paperwork

**Due to COVID-19 all of our appointments are via online video counseling. You will be provided electronic forms via your patient portal to complete and submit online. Should you choose to print and complete paper forms you will need to be able to scan or fax them to your clinician prior to your first appointment**

Please print and complete the relevant paperwork below to bring to your first appointment.  Please fill out as much as you can, and your therapist will work with you to address any questions or concerns you may have. If you are unable to bring your paperwork with you, please arrive 20-30 minutes prior to your appointment, and we will be happy to provide copies for your to fill out in our office.

Adult Intake Packet (18 and over)
Child / Adolescent Intake Packet  (under 18)

For couples counseling, please complete two sets of adult paperwork.
For family counseling , please complete paperwork for each family member participating.

Referral Paperwork

(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.

External Referral Print Form

External Referral Google Form

If you fill out the Print Form, please submit the completed form via email to [email protected] or fax to (844) 272-9333 

Notice of Privacy Practices

To view Nemeth Counseling's Notice of Privacy Practices, please click on the link below:

Notice of Privacy Practices

Request a call from us

Please note: this service is intended for new clients only. Established clients should contact their therapist directly to make an appointment.


Office Hours

Individual therapist schedules vary


8:00 am-9:00 pm


8:00 am-9:00 pm


8:00 am-9:00 pm


8:00 am-9:00 pm


8:00 am-9:00 pm


8:00 am-4:00 pm