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During this time, you may send any documents to submitdocs@westernpsychservices.com and we will upload or route the information as appropriate.
If you are a new client, please print and
complete all listed forms in your area prior to your session.
The section "Other Forms" below includes forms or documents that may be relevant over the course of treatment
There are also forms specific to ADHD, ABA, and Health Psychology Programs.
| ACE Questionnaire | 1 | Download | |
| Adult Check-In Form | 1 | Download | |
| Autobiography | 8 pages | Download | |
| Deferred Prosecution Agreement | 2 | Download | |
| DMV - Release of Information | 1 | Download | |
| DUII Informed Consent - OR | 1 | Download | |
| DUII Informed Consent - WA | 1 | Download | |
| DUII Pre and Post Test | For Oregon DUII- Complete prior to treatment | 2 pages | Download |
| Informed Consent Packet, Treatment Expectations, and Program Rules | For review during intake appointment | 11 pages | Download |
| New Client Packet- Adult SUD Treatment | Complete and send to submitdocs@westernpsychservices.com | 22 pages | Download |
| Relapse Prevention Plan | 1 page | Download |
