OHIO PROVIDERS FOR HEALTHY LIVING
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​Expense Report Form

Clinician Note Audit Form

Administrative Staff Chart Checklist

Administrative Staff Coaching Form​

Clinical Staff Coaching Form

Leadership Coaching Form

Phone Staff Coaching Form

New Employee Worksheet

New Contractor Worksheet

Patient Satisfaction Survey
​

Employee Performance Review


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ADDRESS:

Lewis Center - 8351 N. High St, Suite 155, Columbus, OH 43235
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Phone AND FAX:

614-664-3595 (phone and fax)
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Email:

​[email protected]
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Communications via email are not secure.  Although it is unlikely, there is a possibility that the information you include in an email can be intercepted and read by other parties besides the person to whom it is addressed.

​Please DO NOT use this email address for medication refill requests or for emergency situations.

Click here for refill requests instead of using email:
Medication Refill Request Form

If you have a medical emergency, email is never the appropriate way to communicate your needs, and you should instead call 911 or go to the nearest ER.  If you are having suicidal thoughts and need to speak to someone immediately, you can contact Suicide Prevention Hotline at the number (and link) below.
988 Suicide & Crisis Lifeline

2026  Providers for Healthy Living, LLC  |  All Rights Reserved
Providers for Healthy Living
  • Home
  • Our Clinical Team
  • Virtual Visits
  • Insurance Information
  • Current Patient Information & Forms
  • New Patient Information & Forms
  • Request a Refill
  • Refer a Patient
  • Make a Payment
  • Maitland Florida Office
  • Patient Feedback
  • Athelas
  • Blog
  • Frequently Asked Questions