Crisis Counseling

Psychological Services

Educational Consulting

Talk To People Who Care

More Information: www.CrisisCounseling.com
E-mail: Info@CrisisCounseling.com

Bend Psychological Services & Education Options
965 NE Wiest Way
Bend Oregon, 97701
Office/: 541 388-5660

How To Become A Client

We are glad to answer any questions regarding our service on the phone or during your first appointment. 

Step 1. Call us at (541) 388-5660 (local in Bend, Oregon) or E-mail us to see if we can help.

Step 2. Please print, read and sign our "Information and Informed Consent" form. Please mail, or bring it to your first appointment. 

Information and Informed Consent.

Policy for Payment of Counseling and Psychotherapy Services

Step 3 (Youth)  If asked, please complete our Youth Background and Information. Please complete this form by hand or on-line. You may submit on-line, mail, or bring it to your first appointment. 

 Youth/Student Information Form (complete on-line or print and complete by hand)

Youth Behavioral and Psychological Assessment (YBPA)

  • YBPA (Print and complete by hand), or
  • YBPA (Print and complete by hand) Adobe Acrobat

                     Get Free Adobe Reader

Step 4If asked, please read the Fees and Payment.  This will outline our fee and services and allow you to pay. 

Fees and Payment

Step 5If asked, please print and complete the Client and Patient Contract. You may mail, or bring it to your first appointment. 

Contract 

Step 6.  If asked, please print and complete the following "Release of Information".

Youth:  Release Of Information (under 18 years old.)

Adult:  Release of Information

Policy.  We help our patients seek re-imbursement from their insurance. We do not bill insurance companies directly for  you. Our fees are established to provide services and to financially support our non-profit information web sites. We do not offer reduced fees or a sliding scale. Payment for services are by check or credit card. 


If you know of a web site that will provide Help For People in Crisis, please send the internet address to mailto:webmaster@CrisisCounseling.com.