Client Inquiry & Pre-Screening Form
Skyhook Counseling Center
12064 SW Garden Place
Tigard, OR 97223

(503) 382-8288 | info@skyhookcounseling.com

Sign in to Google to save your progress. Learn more
If you are experiencing a mental health crisis, call or text 988, or contact your local county crisis line. For medical emergencies, call 911 or go to your nearest emergency room.

Washington County Crisis Line – (503) 291-9111
Multnomah County Crisis Line – (503) 988-4888
Clackamas County Crisis Line – (503) 655-8585
ACCEPTING NEW CLIENTS
SCC Accepted Insurance & Payment
  • Aetna
  • BCBS/Regence
  • Kaiser
  • Moda
  • OHP: HealthShare/CareOregon
  • OHP: OpenCard
  • OHP: PacificSource CommunitySolutions
  • OHP: Trillium Community Health Plan
  • PacificSource
  • Providence
  • Self-Pay 
Please note: Clinicians at SCC accept different insurances depending on licensure. As a courtesy service, we will verify insurance coverage and provide you with a benefit quote prior to establishing services. Insurance verification is not a guarantee of payment. 

 (Updated 5/28/2024)
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Skyhook Counseling Center. Report Abuse