FORM NAME
ADOBE ACROBAT FILE
Adolescent History Form (client)
Adolescent History Form (parent)
Adult History Form
Child-adolescent History Form
Child History Form
Intake Packet Anita
Therapy Gone to the Dogs
5410 SW Macadam Ave, Suite 270,
Portland, OR 97239.
ph: 503 764-9508
fax: 503 764-9558
Directions to Therapy Gone to the Dogs : Anita Katz, PMHNP
From the North: South on HWY 43/Macadam Ave. Turn Left at the light on Boundary Ave. Take the first Right onto SW Landing Dr. 5410 SW Macadam Ave. is the second building on the right. Download Map
From the South: North on HWY 43/ Macadam Ave. Turn Right at the light on Boundary Ave. Take the first Right onto SW Landing Dr. 5410 SW Macadam Ave. is the second building on the right. Download Map
Parking: There are three visitor parking spots in front of the building, if they are occupied use the overflow parking on SW Landing Dr, close to Boundary Ave, as marked on the map.
ph. (503) 764.9508 fax (503) 764.9558