Make a Referral

Treatment and recovery should be available to all who need it. For that reason, we have made our referral process simple and straightforward.

Download the Forms

To refer a patient, please download the 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 Referral form

Download the ROI form

Careers with Great Circle Recovery

Make a positive difference in the community – and in the lives around you.

Contact

MADISON PLACE
1140 SW 11th Ave, Third Floor
Portland, Oregon 97205
test503-221-0100
800-800-7132
Located on the Portland Streetcar line