Referral Forms

Withdrawal Management Referral

Withdrawal Management Referral Form

Read more about our Withdrawal Management Program

 

Adult Residential Referral

Providers please fax or email a completed Adult Residential Referral Packet along with any relevant assessments, medication lists and medical records to referrals@forahealth.org or  fax 503-535-1163.

For self-referrals please call our access center at 503-535-1151.

Due to the COVID-19 restrictions we are currently not having our Residential Treatment Readiness group.

 Read more about our Adult Residential Treatment Program

Adult Residential Referral Packet

 

Medically Monitored Adult Residential Referral

Currently, our Medically Monitored Adult Residential program is only serving patients with the following insurance: Providence, Columbia Pacific Medicaid, Health Share Medicaid, and Yamhill Medicaid members.

Providers please fax or email a completed Adult Residential Referral Packet along with any relevant assessments, medication lists and medical records to referrals@forahealth.org or  fax 503-535-1163.

For self-referrals please call our access center at 503-535-1151.

Read more about our MMART Program

 

Medically Monitored Adult Residential Referral Packet