Behavioral Health

Lane County

• PA Form-Lane County BH Inpatient (PDF)
• PA Form-Lane County BH Outpatient (PDF)

Tri-County/Portland

• PA Form-Tri-County Portland BH Inpatient (PDF)
• PA Form-Tri-County Portland BH Outpatient (PDF)
• OR Medicaid Certificate of Need Form (CON) (PDF)

For Tri-County behavioral health services only: Discharge information is required within 24 hours of discharge from IP or RTC levels of care. Please fax discharge clinicals to: 833-505-1300.