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    • OCD
    • Adolescents
    • Young Adults
    • Neurodiversity
    • Anxiety
    • Panic Disorder
    • Phobias
    • Depression
    • Stress Management
    • Parenting and Family Issues
    • Trauma
  • FAQ's
  • Forms
  • Contact Me
    • Appointment Request
  • Links & Resources
  • Privacy & Policy
  • Rates and Insurance

Cathedral Park Counseling

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  • About Me
  • Services
    • OCD
    • Adolescents
    • Young Adults
    • Neurodiversity
    • Anxiety
    • Panic Disorder
    • Phobias
    • Depression
    • Stress Management
    • Parenting and Family Issues
    • Trauma
  • FAQ's
  • Forms
  • Contact Me
    • Appointment Request
  • Links & Resources
  • Privacy & Policy
  • Rates and Insurance
logo
  • About Me
  • Services
    • OCD
    • Adolescents
    • Young Adults
    • Neurodiversity
    • Anxiety
    • Panic Disorder
    • Phobias
    • Depression
    • Stress Management
    • Parenting and Family Issues
    • Trauma
  • FAQ's
  • Forms
  • Contact Me
    • Appointment Request
  • Links & Resources
  • Privacy & Policy
  • Rates and Insurance

[email protected]

  • Home
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  • Forms

Forms

If you're a new client, please complete the following forms and bring them to your first therapy session.

  • Client Psychotherapy Intake Form
  • Limits of Confidentiality/Therapy Cancellation Policy

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

  • Authorization to Disclose Information Form

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

Visit the Office

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Address

8638A N Lombard St.
Portland, OR 97203

Contact Information (503) 420-7567

(971) 369-9483

[email protected]

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