Interested in becoming a client?

Please fill out the following form and we will respond to your inquiry between Monday - Thursday.

Rather talk? Give us a call Monday - Thursday between 9:30 am - 2:30 pm at (971) 246-5970 to speak with our office about availability.

Name

First Name

Last Name

Pronouns

Phone

(###)

###

####

Email

DOB

Insurance Provider

Please provide your ID and Group Numbers . *We accept : Cigna, BCBS Regence, Providence, Aetna. (LPCs and Registered Associates are able to take OHP plans) . We offer self pay rate for those not covered by the above providers.

What are you hoping to address with counseling?

Have you attended counseling in the past? What worked and what didn't?

Do you have a history of hospitalizations or suicide attempts?

Interested in becoming a client?

Contact

Hours

Location