BECOMING A CLIENT WITH DARBY CREEK COUNSELING
For all New or Returning Clients: Please complete the appropriate intake form below.
- Student Referred by Jefferson Local School to be seen at the school
- Minor Child / Dependent Client Inquiry Form*
- Adult Client Inquiry Form
*For minor clients: Forms must be completed by a LEGAL CUSTODIAN or GUARDIAN. ALL legal documents regarding custody and parenting must be submitted with the inquiry or can be sent to custody@darbycreekcounseling.org and must be received prior to any sessions being scheduled.
If you do not have the ability to compete forms electronically and/or to create a client portal, please call 740-845-8652 to schedule an appointment to come to our Hilliard or London office to complete the forms.
IMPORTANT NOTICES:
After school appointments for children and adolescents are limited and may not be available for new clients. They are typically offered to existing clients transitioning from daytime appointments.
WE HAVE VERY LIMITED OPENINGS (ONLY AT THE LONDON OFFICE) FOR CLIENTS WITH MEDICARE PLANS DUE TO EXTREME FEDERAL LIMITS ON WHO CAN PROVIDE SERVICES. We are not able to accept many of the Medicare Advantage plans.
Next Steps: After submitting your inquiry form, we will contact you by email to create a Client Portal with “My Best Practice” EHR system. There you will complete additional information, receive an estimated cost for your sessions based on your insurance information and communicate with our staff and your therapist.
If you are referring Darby Creek Counseling, please do not complete the intake form on their behalf. Follow the instructions for professional referrals or direct the individual to complete our intake process on their own.
“Your present circumstances don’t determine where you can go; they merely determine where you start.”
-NIDO QUBEIN