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