Travel Request
Behavior Consultation

Appointments outside of Franklin County must be scheduled manually.

Once this form is received, you will be contacted about scheduling the appointment.

For these appointments, there is a travel fee in addition to the behavior consultation fee.

Travel fee:':

$30 travel fee for the following counties

  • Delaware

  • Fairfield

  • Licking

  • Madison

  • Pickaway

  • Union

$60 travel fee for the following counties

  • Champaign

  • Clark

  • Knox

  • Marion

  • Morrow

For all other counties, the travel fee will be calculated on an individual basis.