Accepted Insurance Plans:
Cascade Health, First Choice Health, Optum, PacificSource, Providence, Regence, Cigna, Medicaide, Moda

Siskiyou Counseling will bill your insurance for you. Before your first full appointment with us, you will be expected to have your insurance pre-authorized I-Med Billing at (541) 500-8655.

*For those paying in cash, please ask us about our sliding scale fees.

Payment methods:
Cash, Check, Mastercard, Visa

Client Forms

In order to expedite your first appointments with us, we kindly ask that you please print/complete and send back 5 assorted forms—they have an asterisk (*) next to them. Non-asterisk items are for you to review carefully and hold onto.

Note: USPS will require 2 stamps to send these documents via first-class mail.

Drew’s Forms

• Client Information Form *

• Consent for Release of Information *

• Consent for Treatment *

• Communication Authorization *

• Duty to Warn

• Disclosure Statement

• HIPAA Consent & Compliance *

• Patient Insurance Intake Form *