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Intake Department Forms

Client Information

For your review only; no need to return.

New Client Paperwork

Complete prior to your first appointment. Please download, print, complete and bring paperwork to your appointment.

  • Intake Form - Adult​

  • Intake Form - Youth (for parent/guardian to complete)

  • Intake Form - Youth (for client to complete)

    • Intake Form - SUD (supplemental form to be completed with either Adult or Youth form, if needed)

  • Intake Form - Psychiatry

Other Syntero Forms

Complete the following forms, as needed. Please download, save the forms, then submit via email to our Front Desk.

Contact

Please direct questions to our Intake Department at intake@syntero.org or 614.889.5722 ext 133.

EMERGENCY: If you are in crisis and need immediate assistance, call 988 or click here to for local contacts and phone numbers.

CARF logo - accredited by the Commission on Accreditation of Rehabilitation Facilities
Alcohol Drug Addiction & Mental Health Board, ADAMH Logo
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Syntero is nationally accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF), certified by the Ohio Department of Mental Health and Addiction Services, and supported by ADAMH Board of Franklin County, Delaware-Morrow Mental Health & Recovery Services Board, grants, and private donations.

WHO WE ARE >

Syntero delivers trauma-informed, compassionate behavioral health care that meets people where they are—literally and emotionally. With nearly 50 years of trusted service in Central Ohio, Syntero provides evidence-based prevention, treatment, and recovery programs that support individuals across the lifespan—from children in schools to older adults aging in place. Our integrated approach not only addresses immediate needs but also builds long-term resilience, empowering individuals, families, and communities to heal and thrive.

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© 2025 by Syntero, Inc.

CONTACT > info@syntero.org

To Schedule> 614.889.5722 ext: 133

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Non-profit Identification Number:

31-0972255

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