Integrated Youthcare

A mental Health Clinic for Kids

 
 


 

Please download and fill out each of these forms following your pre-intake interview.  We will schedule your first appointment following the receipt of these signed forms.

  1. Consent To Treat


  1. Financial Policy


  1. HIPAA Notice


  1. Release Of Information

(Complete a Release of Information for each person or organization that you wish to allow access to information)


Please mail completed forms to:

Integrated Youthcare

673 NW Jackson Ave

Corvallis, OR 97330