Mental Health and Suicide Helpline | Call or Text 988 | 24/7/365

Mental Health and Suicide Helpline

We are currently experiencing higher-than-normal call volumes at West Salem Clinic and Total Health Community Clinic, and some callers may receive a busy signal. If you are unable to reach us, please call (503) 606-3288. Thank you for your patience while we address this issue

Mental Health and Suicide Helpline

Call or Text 988 | Available 24/7/365

Patient Documents & Forms

Privacy & Rights

Release of Information Authorization (English)
Release of Information Authorization (Spanish)
Release of Information Authorization (Russian)
HIPAA & Patient Privacy (English)
HIPAA & Patient Privacy (Spanish)
Notice of Privacy Practices (English)
Notice of Privacy Practices (Spanish)
Statement of Patient Client Responsibilities (English)
Statement of Patient Client Responsibilities (Spanish)

Protected Health Information (PHI)

Permission for Verbal PHI (English)
Permission for Verbal PHI (Spanish)
Text Message Consent (English)

Feedback

Patient/Client Feedback Form (English)
Patient/Client Feedback Form (Spanish)