Intake Forms

Please find our intake paperwork below.  We ask that you complete this form before coming to your appointment.  Please read each page thoroughly and sign them.  For your convenience, we have two different formats available – a Microsoft Word document and a PDF.  If you are unable to open either of the files below, please let our staff know.  Thank you!

DBT Clinic Intake Paperwork (Word – Fillable)

DBT Clinic Intake Paperwork (PDF)


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The DBT Clinic, PC

2104 SE Morrison Street, Portland, OR 97214

Phone: 971-285-6545         Fax:  503-764-9483