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Please print, complete and bring with you to your first appointment: 

1) Therapy Policies (for your type of provider) ; 

2) Intake Registration Form; and

3) Privacy Practices Informed Consent Form.




1.  THERAPY POLICIES and CONSENT FORMS

Psychologist Therapy Policies & Consent


Clinical Social Workers Policies & Consent rev 2-16.pdf




2. INTAKE REGISTRATION FORM


Intake Registration Form





3. PRIVACY PRACTICES INFORMED CONSENT FORM


Privacy Practices Informed Consent






Please read our Privacy Practices Notice: 


  Privacy Practices Notice-Summary
 


Privacy Practices Notice-Complete






LOCATION & CONTACT INFORMATION

Address:  1525 NE Weidler St., Suite 101, Portland, OR 97232

Telephone:  503.287.7006        FAX:  503.287.0212