Skip to content
Mid-Ohio Psychological Services, Inc. provides high-quality, cost-effective, culturally-sensitive, socially-responsible, mental health, substance abuse, and support services to individuals and community organizations, while offering professional development to its staff and other professionals in the field.
mailicon
Facebicon
Linkdnicon
Instagramicon
Generic selectors
Exact matches only
Search in title
Search in content
Post Type Selectors
Filter by Categories
  • Home
  • About MOPS
    • Agency History
    • Board Meetings
    • Clinical Philosophy
    • Core Values
    • Events
    • Organization Chart
    • Our Board
    • Our Staff
    • Recognition
    • Reports
      • Annual Reports
      • Quality Improvement
        • QI Minutes 2021
        • Qi Minutes 2020
        • QI Minutes 2019
        • QA Minutes 2018
        • QA Minutes 2017
        • QA Minutes 2016
        • QA Minutes 2015
        • QA Minutes 2014
      • Surveys
        • Agency Surveys
        • Client Satisfaction Surveys
    • Rules and Policy
      • Agency Policies
        • Accessibility
        • Affirmative Action
        • Bylaws
        • Client Recordings
        • Client Rights and Grievance
        • Clinical Care Termination
        • Conflict of Interest
        • Consultation
        • Consumer Outcomes
        • Corporate Compliance and Risk Management
        • Crisis Management
        • Financial Management
        • Governing Body
        • Identity Theft Prevention
        • Incident Reporting
        • Informed Consent
        • Investment Policy
        • IT
        • Job Description
        • Marketing
        • Multicultural Competency
        • Personnel
        • Philanthropy and Donor Relations
        • Quality Improvement
        • Records Control
        • Records Retention
        • Research Activities
        • Special Treatment and Safety Measures
        • Supervision
        • Travel
        • Workforce Developement
      • Service Policies
  • Services
    • Accepted Insurance
    • Clinical Services
      • Alcohol and Other Drug Services (AOD) and Substance Abuse Disorder Case Management Services (SUD)
      • Community Psychiatric Supportive Treatment and Therapeutic Behavioral Services (Case Management and Therapeutic Mentoring)
      • Consultation
      • Individual Psychotherapy (Counseling)
      • Prevention Services
      • Psychiatric Diagnostic Evaluation (Diagnostic Assessment)
      • Telehealth
    • Fees and Payments
    • Referral for Services
      • Referral for Services Form
    • Special Programs
      • Aggression Management Program
      • Alcohol and Other Drugs (AOD) Program
      • Formal Assessment Services
      • Sexually Abusive Behavior Program
      • Therapeutic Behavioral Services Program
    • What to Expect in Therapy
  • Training
    • Moodle
    • MOPS IP Faculty
    • Supervisor Endorsement CE Requirements
    • Trainer Bios
    • Training Registration
    • Upcoming Training Schedule
  • Join Our Team
    • Counselor Internships
    • Doctoral Internships
    • Doctoral Practicum
    • Employee Benefits
    • Employee Handbook
    • Job Application Process
    • Social Worker Internships
  • Resources
    • Direct Forms
      • Assessment Forms
      • Chart
      • Other Direct Forms
      • Referral Forms
      • Registration Forms
    • Indirect Forms
      • Employee Forms
      • Incident Reporting
      • Other Support Forms
      • QI Forms
  • Telehealth
  • Feedback
  • Volunteer
  • Donate

Employee Forms

Employee Forms
  • Independent Employee Agreement
  • Cell Phone Stipend Authorization Request Form
  • Change of Work Schedule
  • Code of Conduct
  • Confidentiality/Security Agreement
  • Conflict of Interest Information Form
  • Direct Deposit Form
  • Employee Agreement
  • Employee Benefits
  • Employee Corrective Measures Form
  • Employee Emergency Contact Form
  • Employee Reasonable Accommodation Form
  • FMLA Designation Notice
  • FMLA Agency Response
  • FMLA Medical Certification
  • FMLA Medical Certification for a Family Member
  • FMLA Return to Work Medical Certification
  • Notice of Substance Testing Results
  • Release of Information
  • Scope of Practice
  • Service Activity Log for Evaluations
  • Substance Testing Consent Form
  • Academic Institution Observation Agreement
  • Client Consent to Academic Institution Observation
To achieve our mission, we value...
Personal Growth * Integrity * Inclusion * Strong Relationships * Adaptability * Results
mailicon
Facebicon
Linkdnicon
Instagramicon
psi