A NEW DAY COUNSELING CENTER
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form

Client forms


Intake 

  • Adult Intake form
  • Child Intake Form​​
  • Telehealth Informed Consent

HIPAA Privacy Information

  • HIPAA Privacy Notice

Release of Information

  • Release of Information for Health Insurance
  • Release of Information form


counseling

Packaged clinical services

Premarital and Marital Coaching Packages

  • Premarital Coaching Packages
  • Marital Enrichment Packages

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Employment 

For practicum or employment inquiries, please contact the counseling center director, Debbie Woo, by email or phone (503 517-1886)

Location

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Another gospel-centered ministry of Western Seminary

Contact

A New Day Counseling Center 
5511 SE Hawthorne Blvd. - Portland, OR  97215
​(503) 517-1895
(855) 244-7670 FAX
Emergency Support 
If you are having a mental health emergency you can contact the Portland & Multnomah County Crisis support at (503) 988-4888 or toll free at 1-800-716-9769. If this is a life threatening emergency Call 911 or go to your nearest hospital emergency room.

For more support information link here>
CONTACT
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