Telehealth Consultation

Get a No-Cost Telehealth Consultation

At SUN, our admissions process starts with a no-cost consultation with one of our specialists to determine the best plan for your care. With our no-cost Telehealth Consultation (formerly Virtual Consultation), you can now video chat with an admissions specialist from home. If you or a loved one is experiencing a psychiatric emergency, immediately dial 911 or go to your nearest emergency room. You can also call us at 614-706-2786. This form is not for use in emergency situations.

Set Up Your Consultation Quickly and Easily

Fill out and submit the following patient information form
Select and request your preferred date/time to talk with a specialist along with a note describing your situation — check for a confirmation email that we received your request
A SUN representative will call to confirm your appointment soon after we receive your information
One of our specialists will reach out to you at the scheduled time for a video chat* and consultation

*IMPORTANT: You will need to have a camera. This will be a video chat and not a phone call.

Telehealth Informed Consent Form

instructions to apply for a SUN telehealth consultation

Patient Information Form

*Indicates required field
Name*
Date of Birth (Month/Date/Year)*
Gender*FemaleMaleOther

Contact Information

Phone Number*
Email Address*
Street*
Street 2
City*
State*
ZIP Code*

Presenting Problem

Describe the problems you are facing. Please be as specific as possible.*
Are you currently experiencing any of these behaviors at this time? Are you currently using illegal or prescription drugs in a way that is not prescribed?

Insurance Information

The below information will be used to help you understand your benefits if you require further care.
Insurance Name*
Policy Number
Group Number
Primary Subscriber Name (and relationship to patient)
Employer
Insurance Carrier Phone Number
Primary Subscriber Social Security Number
Patient Social Security Number
Are you currently in treatment?
If so, with whom?
If a doctor or anyone else suggested you call SUN Behavioral today, please specify below. If no one, please type "none." Referring Provider Name
Referring Provider Phone Number
Referring Provider Organization*
How did you find out about this service?*
We are glad you reached out to us and next you will be able to select a consultation window. If this is a psychiatric emergency please dial 911 or go to your nearest emergency room. You may also call SUN Behavioral assessments department at 614-706-2786.

SUN Behavioral Columbus

900 E Dublin Granville Rd
Columbus, OH, 43229

Hours of Operation:

Open 24 hours

SUN Columbus

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24 Hour Crisis Care

Telehealth Services

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On-Site Pharmacy

Call for help now

614-706-2786

Telehealth Consultation

Get a No-Cost Telehealth Consultation

Set Up Your Consultation Quickly and Easily

Telehealth Informed Consent Form

Patient Information Form

Contact Information

Presenting Problem

Insurance Information

SUN Behavioral Columbus

Hours of Operation:

Other Locations

Contact Info

24 Hour Psychiatric Emergency Admissions

Mental Health Crisis Stabilization

Substance Use Disorder Emergencies

Substance Use Detox

No Need to Call or Make an Appointment

Open 24 Hours a Day, Seven Days a Week