Buckeye Psychiatry LLC Dr. Adam Brandemihl - 614-766-5205
Downloadable Forms

All forms are downloadable in PDF format. You can download a free version of Adobe Reader by clicking the Adobe link:

Adobe Reader Download


Test Yourself
Generalized Anxiety
Panic Disorder
Bipolar Disorder
Borderline Personality


Download Forms

Prior to your Psychiatric Assessment with Dr. Brandemihl please download and complete an Intake Form after reviewing the office policies. If you are unable to access or complete the intake form at home please arrive approximately 20 minutes early for your appointment to complete the form.

Intake Form

Release of Information Form

Office Policies


Buckeye Psychiatry, LLC offers psychiatric assessment, psychotherapy and medication management.
New patient appointments are typically available within 1 - 2 weeks.
Evening and weekend appointments are available.


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5060 Parkcenter Ave. | Suite F | Dublin, Oh 43017 | 614.766.5205

Serving the Central Ohio area including Westerville, Delaware, Gahanna,

New Albany, Lewis Center, Pickerington, Bellefontaine, Columbus,

Dublin, Hilliard, Marysville, Powell, Upper Arlington and Worthington

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