Contact Us

 

Please use this form to request information on our current services or to request an appointment. 

 

We will do our upmost to respond to your request within 1-2 business days. 

 

PLEASE NOTE: 

1. WE DO NOT PROVIDE IN-HOME SERVICES.

 

2. WE DO NOT PROVIDE APPLIED BEHAVIOR ANALYSIS (ABA) SERVICES.

 

3. WE ARE UNABLE TO ACCEPT OHP, MEDICARE, OR MEDICAID INSURANCES. 

 

4. WE ARE UNABLE TO OFFER SLIDING SCALE FEES.

 

 

Name *
Name
Phone *
Phone

10300 SW Greenburg Road, Suite 240
Portland, OR 97223
USA

Forms Page

Appointment Information for Diagnostic Evaluations

 

All evaluations conducted at Portland Autism Center are completed by Licensed Clinical Psychologists. Portland Autism Center’s evaluating Clinical Psychologists are all preferred providers with Regence BlueCross BlueShield.  We do not bill out-of-network for evaluations and payment is due in full when services are rendered.

Portland Autism Center is currently accepting new referrals for autism spectrum disorder evaluations focusing on the question of moderate to high functioning ASD ages 8 years and up (for those seeking evaluations for individuals under 8 years old, please refer to our Community Resources page for other providers in the area).

If you would like to learn more about the evaluation process or would like to begin a referral (self-referrals accepted), please complete the Diagnostic Evaluation Waitlist Form and email it or fax it to:

Matt Lundeberg, Psy.D.

Clinical Director & Licensed Clinical Psychologist

Phone: 971-777-5117

Fax: 503-206-7596

Email: matt.lundeberg@portlandautismcenter.com

Dr. Lundeberg will review you form and contact you to confirm that you have been placed on our waitlist. One of our Licensed Psychologists will contact you again when we are ready to schedule your evaluation.

 

 

 

Appointment Information for Psychologists and Counselors:

Appointments will be set up with your own individual provider. Typically, your day and time for your appointment will remain the same for each week, or every other week, depending on what you decide with your therapist. This is to provide great predictability to your child around their appointment time so that there can be continued consistency for them throughout their treatment at the Portland Autism Center. 

 

Please contact us directly to ensure that we have availability to schedule you before completing our patient packet. 

 

Mental Health Intake Packet:

New Patient Packet - Child/Adolescent

New Patient Packet - Adult

 

Appointment Information for Psychiatric Appointments:

Appointments will be set up with your own individual provider. Before completing forms, please make sure you have an appointment confirmed with your provider. 

 

Medical Intake Packet:                                                                       

New Patient Intake Packet - Child/Adolescent

New Patient Intake Packet - Adult