Generally the intake form will be completed when you speak to Lisa on the phone, but there is a form  available below if needed. 

The fax number is: 614-725-3754 and the address is:

Lisa Lubkeman, LISW

3736 N. High St. Suite 102

Columbus, OH 43214 

Please complete and print the self-evaluation form and bring it to your first session.

There is also a list of questions available to ask your insurance company before your appointment.

Thank you. I look forward to meeting with you.