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Intake Department Forms
Client Information
For your review only; no need to return.
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Syntero Client Rights & Other Notices (general)
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Clients Rights - Dublin Office​
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Clients Rights - Lewis Center Office
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Clients Rights - Mill Run Office
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Clients Rights - Mount Gilead Office
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Syntero Site Evacuation Plans - Dublin, Lewis Center, Mill Run
New Client Paperwork
Complete prior to your first appointment. Please download, print, complete and bring paperwork to your appointment.
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Intake Form - Adult​
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Intake Form - Youth (for parent/guardian to complete)
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Intake Form - Youth (for client to complete)
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Intake Form - SUD (supplemental form to be completed with either Adult or Youth form, if needed)
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Intake Form - Psychiatry
Other Syntero Forms
Complete the following forms, as needed. Please download, save the forms, then submit via email to our Front Desk.
Contact
Please direct questions to our Intake Department at intake@syntero.org or 614.889.5722 ext 133.
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