It is our priority to keep you informed of your rights and responsibilities. These documents are for your review and reference, if you would like a printed copy, or if you’d like to complete any of the forms listed, please feel free to discuss this during your appointment and we will mail a copy to you.

Welcome packet

Find guidance on what to expect as a LifeWorks NW client in our Welcome Packet. It contains a letter from our CEO, client rights and responsibilities, and consent forms. Please note that your assigned clinician will brief you on the consent process and will ask for you to verbally indicate your consent for LifeWorks NW to offer you treatment.

Self-pay fees

The Fee Agreement helps you share insurance information and lets us know who is responsible for paying fees not covered by insurance. Our full fees are listed, as well as a grid to determine if you qualify for reduced fees on a sliding scale. For our King, Rockwood, International Way, Beaverton and Hillsboro Walnut sites LifeWorks NW will not discriminate in providing services to an individual based on the individual’s inability to pay, whether payment for those services would be made under Medicare, Medicaid or CHIP.

Telehealth services

We offer many telehealth services (via Zoom). For telehealth visits, you will receive your connection details via text, email, or both. To update your contact preferences, call us at 503-645-3851. 

If you register for telehealth services, new rules require two-way video (cameras on) for all appointments.  

Release of Information

This form gives LifeWorks NW permission to release and receive your protected health information (PHI). While our responsibility to ensure your safety and the safety of others sometimes limits confidentiality, we make every effort to follow the consent outlined in your release.

Formal complaints

It is our mission to positively support our community. If you have any concerns about our services, please review our complaint packet for our grievance procedures. If you would like a paper copy, contact our Integrity Line at 503-645-3581, extension 2450. Please leave a message, and we will respond within 10 business days.

State of Oregon Advance Directive and Voter Registration

For your convenience, we have included links to the state of Oregon’s advance directive and voter registration forms. If you need help completing these forms, your we will be happy to assist you.