24-Hour Crisis Line: (503) 325-5724

Clients may choose to complete and submit paperwork online. To do so, click on the link(s) below. 

For more information, please call 503-325-5722.

Mental Health Services

Adult Mental Health Enrollment Packet

Youth Mental Health Enrollment Packet North Coast Pain Clinic Enrollment Packet

Servicios de salud mental

Paquete de Admisión Ambulatoria en Español

Alcohol & Drug Services

Alcohol & Drug Enrollment Packet (Ages 14+) Alcohol & Drug Enrollment Packet (Parental/Guardian Consent)

Servicios de alcohol y drogas

Mandated Treatment Services

Mandated Treatment Enrollment Packet (Ages 14+) Mandated Treatment Enrollment Packet 
(Parental/Guardian Consent)

Servicios de tratamiento obligatorios

Referral Forms

Outpatient Services Referral Form Medication Assisted Treatment (MAT) Referral Psychiatric Consult Only Referral Form Residential Referral - North Coast Crisis Respite Center Respite Referral - North Coast Crisis Respite Center

Formularios de referencia

Release of Information

Release of Information Form (Generic) Release of Information for Primary Care Provider

Liberación de información

Information & Notices

Complaint and Resolution Form Declaration of Mental Health Treatment Notice of Privacy Practices Orientation Packet Voter Registration

Información y avisos

Guía para la Declaración para el Tratamiento 
de la Salud Mental en Oregon Aviso de Practica de Privacidad Paquete de orientación Tarjeta de Inscripción de Elector de Oregon

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