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Forms

Forms For northlight counseling Clients

Please click on the buttons below to download the form of you choice.

Service Fee Agreement
Client Bill of Rights
Fraud Abuse Reporting
Medical Advance Directive
Mental Health Declaration
OHA Voter Registration
Privacy Practices
Release of Information
Grievance Form
Grievance Policy
TeleHealth Policy
Client Satisfaction Survey
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Phone
Tel : 541-321-2278
Fax: 541-246-8826

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EMAIL US
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Eugene
1075 Washington St
Eugene OR 97401

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Springfield
5807 A St, Suite 103
Springfield, OR 97478

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Albany
2225 Pacific Blvd SE
Suite 101
Albany OR 97321

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Salem
3085 River Rd. N.
Salem OR 97303

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