Referrals

Referring a patient is simple. Complete the form below and our team will review the information promptly to help guide the next steps in the outpatient care journey.

Refer your client to Branches Outpatient Oregon today

In case of a mental health crisis, CALL 988 or seek the nearest emergency room.

This form is monitored during normal business hours only. 

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Referring Professional’s Information

Name*

Referred Client’s Information

Name*
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Locations

Branches Portland Logo

1815 SW Marlow Ave., Ste. 218 
Portland, OR 97225

971-228-8000

Fax: 971-228-8018

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Branches Salem Logo

1321 Tandem Ave NE, Ste. 200, Salem, OR 97301

971-433-3033

Fax: 971-433-3043

Get Directions