Enrollment Prescreening Please enable JavaScript in your browser to complete this form.Are you requesting services for someone over the age of 18? *YesNoWhat type of services are you seeking? *Mental healthDrug and alcohol recoveryMedication Assisted Treatment (MAT)NOTE: CFD only offers psychiatry for clients who are active with a CFD therapist. A therapist will work with you to see if a referral to CFD psychiatric services is appropriate. Would you like to continue signing up for therapy? *YesNoNOTE: CFD only offers psychiatry for clients who are active with a CFD therapist. A therapist will work with you to see if a referral to CFD psychiatric services is appropriate. Would you like to continue signing up for therapy? *YesNoNOTE: Medication Assisted Treatment (MAT) is for opioid and/or alcohol use concerns. Would you like to continue signing up? *YesNoWhat is your insurance type?Insurance type MH *Oregon Health Plan (as primary or secondary coverage)Commercial insurance onlyNoneCFD can only accept OHP through our Centralized Assessment process at this time. CFD offers services by sliding scale with intern therapists. Would you like to sign up for the sliding scale program? *YesNoSubmit