Referring someone else for treatment
Help a loved one or someone in your care get the help they need.
Providers and Community Partners: please fill out both the forms below. You can then email them to us at Office@OregonChangeClinic.com or fax it to us at (503) 994-5262. We will reach out to you and your client for next steps.
We accept OHP Medicaid health insurance plans.
Provider/Community Partner Referral Form PDF
Release of Information Form PDF