SALEM clinic
Refer a patient to the Great Circle Recovery clinic in Salem, Oregon
To refer a patient to our Salem clinic, please download the Salem referral form, complete it, and fax it to us at (503) 983-9899.
Patients will also need to sign a release of information (ROI) form. Please download the form and send it to us with the referral form, or ask your patient to bring it to his/her intake appointment.
Download the Salem Referral form
PORTLAND clinic
Refer a patient to the Great Circle Recovery clinic in Portland, Oregon
To refer a patient to our Portland clinic, please download the Portland referral form, complete it, and fax it to us at (971) 339-9289.
Patients will also need to sign a release of information (ROI) form. Please download the form and send it to us with the referral form, or ask your patient to bring it to his/her intake appointment.
Download the Portland Referral form
MCMINNVILLE clinic
Refer a patient to the Great Circle Recovery clinic in McMinnville, Oregon
To refer a patient to our Portland clinic, please download the McMinnville referral form, complete it, and fax it to us at (503) 983-9899.
Patients will also need to sign a release of information (ROI) form. Please download the form and send it to us with the referral form, or ask your patient to bring it to his/her intake appointment.
Download the McMinnville Referral form
GRAND RONDE clinic
Refer a patient to the Great Circle Recovery clinic in Grand Ronde, Oregon
To refer a patient to our Portland clinic, please download the Grand Ronde referral form, complete it, and fax it to us at (503) 983-9899.
Patients will also need to sign a release of information (ROI) form. Please download the form and send it to us with the referral form, or ask your patient to bring it to his/her intake appointment.