MAKING A REFERRAL
Getting Information
If you would like written information about DBT or the services offered at the Portland DBT Program, please email our Intake Coordinator at referral@portlanddbt.com or leave a message on our automated voicemail system at (503) 290-3291.
Please indicate your name, mailing address, and what you would like her to send:
1. An overview article on DBT
2. A summary of some of the research to date on DBT
3. Program brochures:
• Standard DBT Program
• Teen Program
• DBT-S Program: Path to Clear Mind (Substance Abuse)
• DBT-ED Program: Path to Mindful Eating (Eating Disorders)
• Trauma Recovery Program: Path to Calm Awareness (PTSD)
• Services to Family and Friends
4. DBT resources and websites
5. Our most recent newsletter
6. Information about program fees
If you have not received the information within 4-5 business days, please feel free to re-contact us.
Steps to Make a Referral
1. Please download the referral information form. Referral Form
(Adobe Acrobat is required to view the form. Click here to download.)
2. Complete the referral form to the best of your ability. Forms that are missing information will take us longer to research, which in turn will delay the time it takes us to get back to you and eventually place the client.
3. Please provide payment information including insurance benefit information. Your insurance company’s customer relations number should be listed on the back of your insurance card. We have also provided a list of several insurance company websites that you can link to on this webpage. If you are a provider making a referral, please obtain this information from your client.
4. Fax the completed referral form and if you are planning to use insurance, a copy of your insurance card (front and back) to: Attn: Intake Coordinator at (503) 231-8153.
5. Our Intake Coordinator will attempt to call the client (or family member if appropriate) within two business days after receiving the form. If you are a provider making a referral, please alert your client ahead of time that we will be calling them.
6. The timeframe for placing a client with a therapist is typically 5-10 business days, but this can vary depending on therapist availability and insurance type.
Additional Questions
If you have a referral question not answered on this webpage, contact our Intake Coordinator via email at referral@portlanddbt.com or call her at (503) 231-7854, Monday-Friday from 7:30AM to 12:30PM.
If our Intake Coordinator is on the line with another call or if it is after-hours, please leave a message and she will attempt to return your call within 4-5 business days.
Please Note:
-When you leave a message, please indicate the best days and times to reach you.
-Unless you tell us otherwise, we will leave a message if you are unavailable.
-We will attempt to reach you three times. After that it will be up to you to re-contact us.
-We are not a crisis line or emergency service provider. If this is a crisis situation, please call
your local crisis line or go to the nearest hospital emergency room.
Crisis Lines:
Multnomah County: (503)988-4888 or toll-free at 1-800-716-9769
Washington County: (503) 291-9111
Clackamas County: (503) 655-8401
