Documents for Clients


Welcome to OhioGuidestone and thank you for entrusting us with your care for your behavioral health needs. With compassion and respect, OhioGuidestone helps people across the lifespan navigate the most difficult times of their lives, focusing on the needs of the whole person and empowering them to take steps towards a healthier future.

Now that you have been scheduled for a Diagnostic Evaluation, we are providing you with the following documents:

Please review these documents prior to your Diagnostic Evaluation appointment.

If you have any questions about any of the paperwork you receive or have difficulty completing any of the forms, you may ask your provider at your appointment.

After the completion of the Diagnostic Evaluation, your care will be assigned to a provider. If you have questions following the completion of your Diagnostic Evaluation, please reach out to us at 844.6.CALL.OG (844.622.5564).

Thank you again for choosing OhioGuidestone. We are so glad you’re here.

Documents to Complete

Please complete the following documents below by clicking the link for each document.

Consent to Treat/Notice of Privacy Practices/Telehealth/Text

Agency Fee Policy and Agreement & Good Faith Estimate for Health Care Items and Services

Additional Documents

Your OhioGuidestone provider may have you complete additional documents located below. If you do need to complete any of the following documents, you will be provided a passcode for them.

Authorization to Release/Exchange Information – do not complete without your OhioGuidestone provider