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empowering a more
Abundant life

Comprehensive Services for Relationship and Psychological Wellness

To register for services and get the process started please contact us at 503-653-0631.  Our staff will follow up and send you our intake forms which are completed electronically through our patient portal.  Once we receive your forms we will call to schedule your initial appointment.    

Please note:   The majority of our forms are completed electronically through the patient portal.  However, you can also access PDF paper versions below if needed.  Please print and complete the form and then send it as an attachment to info@sundstromclinic.com.

Adult Registration Information (19+)

Adult History Form (19+)

Child and Adolescent Registration Information

Child and Adolescent History Form

Consent for Treatment and Other Permissions

Financial Policy Agreement

Notices of Privacy Practices & Limitations

Divorce Policy

Release of Information

TMS Intake Forms

21900 Willamette Dr., Suite 202 , West Linn, OR  97068      (p) 503-653-0631    (f) 503-653-1464       www.sundstromclinic.com

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