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”.
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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 are currently available by internal referral. Call our office for details.)
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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.