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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. 

  • 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.)

  • 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:​

  1. Please fill out the fillable intake form completely (see below) and save
    it to your device. 

  2. Submit your request by uploading the completed intake form and
    insurance card to us 

  3. We will reach out to contact you. If you have questions or need
    assistance,  feel free to contact our office.

Submit Intake Form
Upload intake form
Upload supported file (Max 15MB)
Upload Insurance Card
Upload supported file (Max 15MB)

HILLSBORO: 10690 N.E. Cornell Rd, Suite #315, Hillsboro, OR 97124/phone (503) 352-0468/fax (503) 352-1024 

WEST LINN: 2020 8th Ave, Suite #230, West Linn, OR 97068 / phone (971) 703-1020/fax (971) 703-1019 

RX REFILL LINE (971) 245-1463

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© 2023 Mind Matters ,PC. All rights reserved. 

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