Forms

   

Need counseling? 

Want to make a change? 

You can start by filling out the Information Form below. 

Or you can click on the link here and fill it out on Google Forms:
https://forms.gle/QmZ3vu4NhZBUHdhk7

 Or you can print it, write in your answers, and mail it to: 

DHHCS
161 High St. SE #254
Salem, Oregon 97301

Ready to make an appointment?

Request Appointment

Already a client? 

 Here are some forms you might need:

Release of Information Form

DHHCS Disclosure Statement