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Family Behavioral Health Network, LLC.

Family Behavioral Health Network, LLC.

A network of independently contracted therapists

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Intake Forms

In order to reduce paper waste and improve efficiency all of our intake forms are available through our client portal. Simply call our office to schedule your first appointment and you will be given an invitation to the client portal where you can fill out all of this documentation online. 
 
If there are challenges with accessing the client portal, or you prefer to fill out forms by hand, you can print out these PDF files and bring them to your first appointment. 

 

 

  • Adult Intake Packet
  • Youth Intake Packet
  • Authorization to Release Information

 

 

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Contact

Family Behavioral Heatlth Network, LLC.

Address:
221 West Main Street,
Suite 300

Phone: 541-821-9559

Email: info@fbhnor.com

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