Referrals
ClearLane Behavioral Health welcomes professional and self-referrals for adults seeking psychiatric care.
For faxed referrals, include the patient’s name, contact information, reason for the referral, and relevant records or authorizations. Send patient information and clinical documents to (614) 412-2522.
Request a follow-up
Use your own contact details to request a callback. For professional referrals, enter the referring clinician’s or office contact’s details. Fields marked * are required.
Requests are generally reviewed within 24–48 business hours.
This form is not continuously monitored. For a medical or psychiatric emergency, call 911 or go to the nearest emergency department. Call or text 988 for immediate crisis support.