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  • Mental Health and Addiction Services

Residential Facility Forms and Resources

  • Mental Health and Addiction Services Home
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Orientation, guides, and forms for new and existing residential providers in Multnomah County.

Residential Facility Forms and Resources

  • Activities of Daily Living Training Guide (120 KB)
  • New Resident Orientation Checklist (21.5 KB)
  • Resident general information (25 KB)
  • Informed Consent for Treatment (21 KB)
  • trainings_required_for_residential_staff (20 KB)
  • Medical Management Handbook (82 KB)
  • Form for Doctor visit (39.5 KB)
  • Room search memo (44.5 KB)
  • How to write an incident report (31 KB)
  • Incident Report Form (55 KB)
  • AFCH - Incident Reporting Form (59 KB)
  • Incident Reporting Category Definitions (87 KB)
  • Critical Incident Definitions (24.5 KB)
  • discharge_interview_form (38.5 KB)
  • Evacuation Drill Checklist (14.81 KB)
  • Policy and Procedure Affidavit (20 KB)
  • Variance Form (39.57 KB)
phone number

Mental Health Crisis Intervention

503-988-4888
Toll-free: 800-716-9769
Hearing-impaired dial: 711

24/7 crisis counseling by phone, with translation services for non-English speakers.

County service
teen girl

Multnomah Early Assessment and Support Alliance (EASA)

To refer yourself or someone else, call 503.988.3272

Two year treatment program for young people who have experienced their first episode of psychosis within the last year and whose symptoms are not caused by a medical condition or substance abuse.

County service

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© 2018 | Multnomah County General Information Line: 503.823.4000