Patient Forms
Notice of Privacy Practices
Describes how your health information may be used and disclosed, and how you can get access to your individually identifiable health information. Please review this notice carefully.
Authorization for Release of Medical Information
Allows patients to authorize the disclosure of their health information to a designated individual, company, agency, or facility.
Authorization and Consent for Treatment
All patients must provide their consent for treatment, communications (calls, emails, and text messaging), and agreement of financial responsibility.
Preferred Contacts
Patients are encouraged to complete and return the Preferred Contacts Form, but it is not required.
Financial Policy
This form advises patients of their complete financial responsibility for all medical services received without regard to insurance eligibility or coverage determinations.
Language Services
FAQ
Common questions about getting started with Emerald Psychiatry
Visit our Book Now page or call 614-580-6917. Most new patients are seen within days. We don't make you wait months — that's a commitment, not a tagline.
Most major plans — including Anthem, Aetna, Cigna, CareSource, Medical Mutual, Humana, Tricare, Medicare, and Medicaid. Call our billing team to verify before your first visit.
Yes. Telehealth is available for medication management, therapy, and counseling — securely, via HIPAA-compliant video. From anywhere in Ohio.
If you're in immediate danger, call 911. For mental health crisis support, call or text 988 — the Suicide and Crisis Lifeline, available 24/7. For urgent but non-emergency concerns, call our office and we'll do our best to see you quickly.
Yes — from first grade through adulthood. ADHD, anxiety, depression, behavioral issues, and more. We work with families to create plans that are realistic and that fit how families actually live.