Request services · Make a referral

LET’S TAKETHE NEXTSTEP.

You don’t have to have every answer. Tell us how to reach you, and we’ll help you explore support for your child or family.

Here to connect

Monday–Friday
8 a.m.–7 p.m. Eastern time

614.812.1330 info@lifecentercolumbus.com

What happens next

We discuss the support you’re looking for and current availability.
We review insurance or self-pay fees and payment options with you.
We explain the assessment, consent, and intake steps for appropriate services.

An adult and a child sharing an encouraging high five — A place to be heard. A next step together.

Start with a conversation

How can we help?

A brief request is enough to get started. No insurance card or payment is needed to ask about services.

This prepares an email request. Review your request below, then open your email app and send it to our team. Prefer to talk? Call 614.812.1330.

Let’s connect

Call 614.812.1330 or email info@lifecentercolumbus.com to ask about services or self-pay fees. You can also complete the full intake form if our team has asked you to do so.

Your contact details

Use the adult contact’s information. Fields marked “required” need an answer.

Your name (required)

I’m contacting you as (required)

How should we reach you? (required)

Phone call Email

Phone number (required)

Include your area code.

Email address (optional)

Best time to reach you (optional)

Monday–Friday, Eastern time. We’ll discuss availability when we connect.

Insurance & payment

How are you thinking about paying for services? (required)

Use insuranceAsk about benefits and coverage for the requested service. Pay directly · Self-payAsk about service fees and paying without using insurance. Help me understand my optionsTalk through insurance and self-pay with our team.

What would you like to discuss?

Choose a topic (optional)

Keep this first request to basic contact information. Please don’t include a child’s medical history, insurance member numbers, or card details in an email. Call our team to arrange an appropriate way to share records or payment information.

This page does not send a request, schedule an appointment, or collect payment. You choose when to send the email from your email app.

Your request is ready to review

Send it from your email app.

Nothing has been sent yet. Check the message, open your email app, and press Send there.

To: info@lifecentercolumbus.com
Subject

Open email app

No email app? Copy the message into your email, or call 614.812.1330.