(503) 567-1820 -  We accept BCBS, Aetna, PacificSource, MODA, Providence, and out-of-pocket pay.    TELEHEALTH AVAILABLE                   follow us
Spectrums Family Services
  • Home
  • About Us
  • RESOURCES
  • CONTACT
  • FORMS
​For your convenience, we provide intake paperwork needed to begin our journey together.  
These forms below are in .pdf format. You can download them at your convenience.

Adult Client Forms
​

adult_consent_for_treatment_2026.pdf
File Size: 174 kb
File Type: pdf
Download File

self_report_2026.pdf
File Size: 190 kb
File Type: pdf
Download File

adult_info_for_clients_2026.pdf
File Size: 187 kb
File Type: pdf
Download File

adult_notice_of_privacy_practices_2026.pdf
File Size: 140 kb
File Type: pdf
Download File

privacy_practices_receipt_and_acknowledgment_of_notice.pdf
File Size: 131 kb
File Type: pdf
Download File

teletherapy_consent.pdf
File Size: 121 kb
File Type: pdf
Download File

roi_2026.pdf
File Size: 157 kb
File Type: pdf
Download File

Child Client Forms
​

consent_to_treat_my_child_2026.pdf
File Size: 178 kb
File Type: pdf
Download File

caregiver_intake_form_2026.pdf
File Size: 243 kb
File Type: pdf
Download File

info_for_child_caregiver_2026.pdf
File Size: 192 kb
File Type: pdf
Download File

notice_of_privacy_practices_2026.pdf
File Size: 538 kb
File Type: pdf
Download File

privacy_practices_receipt_and_acknowledgment_of_notice.pdf
File Size: 131 kb
File Type: pdf
Download File

teletherapy_consent.pdf
File Size: 121 kb
File Type: pdf
Download File

youth_intake_2026.pdf
File Size: 197 kb
File Type: pdf
Download File

voice (503) 567-1820  fax (503) 716-4715
8196 SW Hall Blvd, Ste. 202, Beaverton, OR, 97008
We have HIPAA-secure email for your privacy and security: secure@spectrumsfamily.com

Site powered by Weebly. Managed by Hostmonster