Client Forms

Main Number: (503) 740-1971
Main Fax: (503) 771-2436

All forms are in Adobe PDF Format
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Client Forms: Please download and read our patient policies along with your clinician’s intake forms.

In-House Patient Policies

Pam Cline, LCSW – Intake Paperwork

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

Rick Dawson, LCSW – Intake Paperwork

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

Dominique DuBois, LCSW – Intake Paperwork

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

Lucas Eberhardt De Master, PsyD – 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)

Lynn Launer, 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)

Adam T. Reinstein, LCSW – Intake Paperwork

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

Beth Rossi, LCSW – Intake Paperwork

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

Britt Ricci, LCSW – Intake Paperwork

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

Jennie Vernier, LCSW – Intake Paperwork

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

Justin Westbrook, PhD – Intake Paperwork

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