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