Please download, fill out, and print the necessary referral form here. You may fax the completed form or fax your own referral form to our office at (971) 979-1097. If you have any questions, please feel free to contact us at 503-610-6145.
Files coming soon.
1. Please Complete the appropriate Referral Form and FAX to (971) 979-1097.
2. Our clinic will verify insurance benefits/coverage.
3. We will contact the patient/parent/caregiver to discuss benefits (in and out of network process) and assist in scheduling an evaluation.
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