Portland Relationship Institute

7100 SW Hampton Street #128  l Tigard OR 97223 l  503-342-2510

better relationships can change your life

Contact us to find out how






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Would you like to find a safe haven, where you feel listened to and understood?  Where you feel a sense of belonging?
Wellness resources.

We have a growing list of articles for you to enjoy and use, all free of charge.
Intake Forms:  To prepare for your first appointment, print and fill out these information sheets at your leisure and bring them to your first appointment.

Office Policies and Intake form - print and bring with you

Your History and Background -  Print and bring with you

Bring these forms completed along with your ID and insurance card.

If you would like us to bill your insurance and would like us to check on your benefits, we will need the following information below.   We accept most insurance plans including:  BCBS,
Providence, ODS, PBH - Pacific Behavioral Health, UBH - United Behavioral Health, Cigna, Great West, Pacific Source, Value Options, MHN, Aetna and many others.  We will soon be on the panel for OHP Family Care.
  • Your full name
  • address
  • birthdate
  • email address
  • phone
  • Insurance policy name
  • Insurance ID #
  • Group #
Payment:  we gladly accept cash, check or credit card

LocationOur office is at 7100 SW Hampton #128, Tigard OR 97223.  We have large, light-filled offices with comfortable furniture.  Tons of off street, free parking.

Contact us:  503-342-2510  Our phones are staffed 24 hours a day.  You can leave messages, set up appointments or have us texted.

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