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

gethelp@portlandrelationshipinstitute.com 

 

 

 

 

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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.

Insurance: 
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.
gethelp@portlandrelationshipinstitute.com




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