We Bill Most Insurances For You

More Information: www.BendPsychology.Com

Bend Psychological Services
965 NE Wiest Way, No. 2
Bend Oregon, 97701
Office: 541 388-5660
FAX: 541 388-4638

How To Become A Client or Patient - 4 Steps

Step 1.  Please print, read and sign the following  forms when indicated. Bring all these forms to your appointment. Contact us if you have any questions.

Psychological Services:

Forensic and Legal Support Services:

Step 3Please complete the following form and bring to your first appointment. 

Contract for Services (PRINT & Sign)

Step 3 Please print this form and bring it to your appointment

Information Release forms (PRINT & BRING)

Step 4If asked, please complete our Background and Information form. Please complete this form by hand or on-line. Please bring this to your first appointment. 

Adult: 

Child/Youth:

Policy.  We can seek re-imbursement from their insurance in most cases. We can bill insurance companies directly for  you. In some case we will negotiate a fee with you.