​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

Child Client Forms

adult_consent_for_treatment_2022.pdf
File Size:	154 kb
File Type:	pdf

Download File

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consent_to_treat_my_child_2023.pdf
File Size:	158 kb
File Type:	pdf

Download File

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self_report_2022.pdf
File Size:	189 kb
File Type:	pdf

Download File

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caregiver_intake_form_2023.pdf
File Size:	202 kb
File Type:	pdf

Download File

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adult_info_for_clients_2022.pdf
File Size:	155 kb
File Type:	pdf

Download File

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info_for_child_clients_2023.pdf
File Size:	161 kb
File Type:	pdf

Download File

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notice_of_privacy_practices_2023.pdf
File Size:	139 kb
File Type:	pdf

Download File

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notice_of_privacy_practices_2022.pdf
File Size:	139 kb
File Type:	pdf

Download File

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privacy_practices_receipt_and_acknowledgment_of_notice.pdf
File Size:	114 kb
File Type:	pdf

Download File

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privacy_practices_receipt_and_acknowledgment_of_notice.pdf
File Size:	114 kb
File Type:	pdf

Download File

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roi_2024.pdf
File Size:	151 kb
File Type:	pdf

Download File

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roi_2024.pdf
File Size:	151 kb
File Type:	pdf

Download File

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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