Forms

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New Patient Request Form
Mind Matters, P.C. provides quality multidisciplinary evaluations and treatment for psychiatric disorders. We treat children, adolescents, adults and families. Our clinical team will determine which clinician is best suited to meet your needs after receiving the completed “New Patient Request Form”. If you have questions, call our office for details at (503) 352-0468 or (971) 703-1020.
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We will reach out to initially schedule a series of appointments and recommend a treatment plan.
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Initial appointments are available with our Psychiatrists or Psychiatric Mental Health Nurse Practitioners (Our therapists and Psychologists typically are available by internal referral only.
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Please note, We do not currently bill or participate in Medicare or Medicaid plans.
For Referring Providers:
We welcome your referrals to our Psychiatrists and Psychiatric Mental Health Nurse Practitioners. Please fax your referral request to (503) 352-1024. Please call our office if you need assistance.
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To become a Mind Matters PC Patient:​
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Please fill out the fillable intake form completely (see below) and save
it to your device. -
Submit your request by uploading the completed intake form and
insurance card to us -
We will reach out to contact you. If you have questions or need
assistance, feel free to contact our office.