FORM NAME
ADOBE ACROBAT FILE
Adolescent History Form (client)
Adolescent History Form (parent)
Adult History Form
Intake Packet Anita
Authorization Release Form
Therapy Gone to the Dogs
5200 SW Macadam Ave, Suite 312,
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 Left onto SW Landing Dr. 5200 SW Macadam Ave. is the first building on the left. Download Map
From the South: North on HWY 43/ Macadam Ave. Turn Right at the light on Boundary Ave. Take the first Left onto SW Landing Dr. 5200 SW Macadam Ave. is the first building on the left. Download Map
Parking: There are several visitor parking spots in front of the building.
ph. (503) 764.9508 fax (503) 764.9558