Client Forms

Main Number: (503) 740-1971
Main Fax: 1-(503) 771-2436 (YOU MUST DIAL THE 1)

All forms are in Adobe PDF Format
Download Adobe Acrobat Reader

Client Forms: Please download and read our patient policies along with your clinician’s intake forms.

IHC Associates Patient Policies

Pam Cline, LCSW – Intake Paperwork

Adult Adolescent (13-17) Child (5-12)

Dominique duBois, LCSW – Intake Paperwork

Adult Adolescent (13-17) Child (5-12)

Dr. Connie Eldridge-Pederson Ph.D – Intake Paperwork

Adult Adolescent (13-17) Child (5-12)

Cynthia Hiles, LCSW – Intake Paperwork

Adult Adolescent (13-17) Child (5-12)

Britania Latronica, Ph.D – Intake Paperwork

Adult Adolescent (13-17) Child (5-12)

Anne Meneakis, LCSW – Intake Paperwork

Adult Adolescent (13-17) Child (5-12)

Ninfa Neuser, PsyD – Intake Paperwork

Adult Adolescent (13-17) Child (5-12)

Britt Ricci, LCSW – Intake Paperwork

Adult Adolescent (13-17) Child (5-12)