NEW PATIENT REGISTRATION
We are currently only accepting new child, adolescent, and adult patients under the age of 55.
We currently only accept new patients with the following insurances: Aetna, Anthem/BCBS, CareSource Just4Me, Cigna, Golden Rule, Humana, Medica, Medical Mutual, Ohio PPO Connect, Optima/OhioHealthy, OSU/NGS, and UHC/UBH/Optum, and UMR. We are not currently accepting any Medicaid/Medicare insurance plans. Keep in mind that the insurance company that provides your mental health benefits may be different from the company that provides your medical benefits, so please check your benefits carefully before submitting an appointment request to ensure your mental health benefits are provided by one of the insurance providers we currently accept. You may, however, pay the cash price for your visits if you have insurance that we don't accept or if you don't want to use your insurance benefits to pay for your visits.
PLEASE NOTE: Adults who are interested in ADHD medication management need to have recent (within the past three years) psychological testing which confirms a diagnosis of ADHD before being scheduled for a medication appointment. This can be done in our office, for your convenience, after having an initial diagnostic assessment, or these test results can be obtained elsewhere.
Thank you for your interest in our practice.
Once you have filled out the New Patient Registration Form, we will contact you by phone to schedule an appointment, or by email if additional information is required.
PRESCRIPTION REFILL REQUEST
You can now request prescription refills online. When entering your refill information, please enter as much information as possible. You may enter up to three refill prescriptions at a time. If you need to submit more than three prescriptions, please submit the form again after completing the first three refill requests. Please note, this service is only for prescriptions filled by Providers for Healthy Living.
Please allow a minimum of 24 hours for our team to process your prescription refill request.