New patient intakes are currently available. Intakes are being schedule as telemedicine appointments until further notice.
To schedule a new patient intake appointment:
1. Complete the form below and mail or fax it in.
The form can be mailed to:
Laurie Muhlbauer, PMHNP-BC at 910 Capitol St NE, Building C, Salem, OR, 97301 or faxed to Laurie Muhlbauer, PMHNP-BC at 855-541-6860.
Do not email this since email is not encrypted and secure. Email will not be responded to because of this.
Adult Screening Form
Teen/Adolescent Screening Form
Please, arrive on time. If you are more than 5 minutes late you may be considered a “no show.”
Minors need to come with parents.