Our intake forms are available for download. Do not fill them out online, they will not automatically submit to us.
Once completed, these can be emailed to your Pack member or [email protected], faxed to 503.828.3401, or handed to your Pack member in person.
- Referral for Services (English)
- Referral for Services (Spanish)
- Intake packet for minors – 17 years and under (English)
- Intake packet for minors – 17 years and under (Spanish)
- Intake packet for adults – 18 years and older (English)
- Intake packet for adults – 18 years and older (Spanish)
- Authorization to Use/Disclose Health Information – Release of Information (English)
- Authorization to Use/Disclose Health Information – Release of Information (Spanish)
- Medical History (English)
- Medical History (Spanish)
- Custody, Guardianship, and Rights to Information Access For Minors (English)
- Custody, Guardianship, and Rights to Information Access For Minors (Spanish)
- Grievance Policy & Procedure (English)
- Grievance Policy & Procedure (Spanish)
- Grievance/Complaint Form (English)
- Grievance/Complaint Form (Spanish)