New Client Information

Thank you for considering becoming a client at Mt. Tabor Psychological Services. Dr. Martindale is currently open to new clients, but is currently working on a waiting list basis. There may be a significant wait to get an appointment that best suits your schedule. Late afternoon and evening hours tend to be the most requested and therefore the least available.

We hope to get you scheduled as soon as possible. Please feel free to contact our office or email us at scheduling@mtpsych.com for current information on scheduling.

Dr. Martindale is strongly interested in working with individuals who share her values. Because she is a growth focused therapist, she desires to work with individuals who are invested in taking meaningful steps in the direction of health and wholeness. Dr. Martindale will equip you with the tools and skills necessary to create the life you desire.

Intake Forms

In order to schedule your first session we will need you to fill out and return to us the following forms. Please download these forms using the links below. If you prefer, you can call our office to have these forms mailed to you.

The forms are Adobe PDF (Portable Document Format). You may download the free reader from Adobe to open the documents. You may type the information requested into the forms or you may print the forms and fill them out entirely by hand. Some parts of the forms will require your responses by hand (symptom sheet, consent forms requiring signatures, and scheduling information) so even if you type in most of the information, you will still need to print out the forms to complete them. Please mail the completed forms to our office at:

5525 East Burnside Street
Portland, Oregon 97215.

All the information in these forms is held in the strictest confidence. The information is used to aid us in developing a plan to best meet your objectives in therapy. The information on the Insurance Information Form assists us in billing your insurance company.

Goals and Desires for Therapy

Additionally, you may find it helpful to think about what you want to get from your therapy investment. The form below can help you think this through. You can send it along with your other paperwork if you desire.

Questionaire: What do you want from therapy?

Fees

Diagnostic Interview $225
Individual 45 min. sessions $150
Family Psychotherapy $175
Group Psychotherapy $75

Scheduling

If you are interested in scheduling an appointment with Dr. Martindale, please fill out the intake forms, available above. Once we have approved your paperwork we will call or send an email about scheduling your first session. If you are a returning client you may schedule by going to http://mttaborpsychologicalservices.fullslate.com/ or by clicking the button below.

Schedule Appointment

Release of Information

If you would like Dr. Martindale to talk with another individual about issues related to your therapy, you will need to sign a Consent for Release of Information form. Please fill this out and bring, mail, or fax (503-233-4449) it to our office.

Form: Consent for Release of Information