Location and Forms

I am only doing TELEHEALTH

 

HIPPA safe

Internet based (not Zoom!)

Convenient and comfortable

Phone: 503.819.7095

Fax 503.328.7994  For clients only please.

 

Email: suebe3.too@gmail.com

 

Currently accepting new patients. 

 

Call 503-819-7095 to schedule an appointment.

Some weekdays, evenings, and Saturday appointments are available!              

 

FORMS!!!

 

Please open attachments on the next tab and print out the intake paper(s) for the client I will be working with.  These will be used in the initial intake appointment.  Have as much of the form(s) completed as you can prior to our visit.  

 

For children between ages 6 and 18 please select the following forms:

 

  1) "Intake Packet_Child"  (Word allows you to type within the form.)       

  2)  Privacy Notification/HIPPA

  3)  ROI (Release of Information)

For adults 19 and over: 

  1)  Adult Intake Personal History Form 

  2)  The Client Information Sheet 

  3)  Privacy Notification/HIPPA

  4)  ROI (Release of Information)

 No need to print them out


 As a telehealth provider, I work with you through email to get the forms for intake filled out prior to our first appointment.