Office Forms

Office Forms

If you're a new client, please complete the following forms. You may email them to [email protected], fax to 503-588-5327, or bring them to your first therapy session.

John Milnes, MSW Forms:

New Client Information

 


Client Information Sheet



Office Policy



Policy and Procedure

 


Presenting Symptoms Worksheet

 


 

Sandra Stradley, MSW Forms :

New Client Information

 


Client Information Sheet



Office Policy



Policy and Procedure

 

Presenting Symptoms Worksheet




We also ask our new clients to bring with them to thier first appointment the following:

- Current health insurance card
- Driver's license or other photo ID
- If the address on the photo ID does not match your current address, please provide some form of correspondence showing the current address (ie: utility bill, phone bill etc.)




If you would like us to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), or to release other information regarding you or your treatment, complete this form to authorize release of psychotherapy information:


Authorization to Disclose Information Form


Note: To download Adobe Acrobat Reader for free, click here .

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