New Client Information
FINANCIAL, INSURANCE, AND FUNDING INFORMATION:
To learn about Amigo Family Counseling's financial, insurance, and funding information, click here. Amigo Family Counseling is a provider for the following:
Franklin County Board of Developmental Disabilities Provider (CFTS)
Delaware County Board of Developmental Disabilities Provider
Fairfield County Board of Developmental Disabilities Provider
OSU MHCS Autism Services Provider
Provider for Level 1, I/O, and SELF Waivers
TO BECOME A NEW CLIENT:
Please print and fill out all areas of the following: New Client Intake Form
Once completed, either FAX the form to 614-310-1237 or scan and email the form to: firstname.lastname@example.org
We will then call you for scheduling purposes.
Print and fill our new client paperwork.
Adult clients should use this form: Adult New Client Paperwork.
Be sure to arrive 15 minutes early for your first appointment.
Bring the following to your scheduled appointment:
Your insurance card (if you will be using insurance)
Any test results, prior medical reports, school IEPs, ETR, and any other helpful documents.
The new client paperwork.