Toll Free: 800-417-3104 (In Oregon)     673-3104 (Roseburg)     Fax: 541-673-2790

 

Getting started is really quite simple.  Just download our Information Worksheet, Statement of Counseling Services AND Privacy Statement, fill them out and fax or mail them to us (Fax number is at the top of this page, address is at the bottom).  Once we have received all three you can call us to schedule a face-to-face or telephone interview to discuss your options.

 

Download Statement of Counseling Services (PDF)
Must have Adobe Acrobat Reader to view and print.
Click here if you need Acrobat Reader

 

Download Information Worksheet (PDF)
Must have Adobe Acrobat Reader to view and print.
Click here if you need Acrobat Reader

 

Download our Privacy Notice (PDF)
Must have Adobe Acrobat Reader to view and print.
Click here if you need Acrobat Reader

849 S.E. Mosher     Roseburg, OR  97470