Where to Find Me

Laura Stockford LCSW

1210 Pearl Street, upstairs

Eugene, OR 97401 

 

Phone: (541) 729-8385

Email: laurastockford@gmail.com

 

Or use my contact form.

Office Hours

Monday 9-5

Tuesday 10-3, 4-5

Thursday 9-11, 2-5

Friday 9-1

metered and 2 hour on street parking, bicycle parking south side of building

Patient Forms

New patient? Save time and reduce the amount of paperwork you

 have to fill out at your first visit. We provide several patient forms as downloads on our site.

Patient Forms

New patients will need to fill out several forms before therapy can begin. To make the process as smooth and efficient as possible,I provide the most important documents as downloads right here on our website.

 

Find out which forms you need to submit, select the appropriate download link and mail the completed documents to me at 1210 Pearl Street, Eugene, OR 97401. Please send a copy of the front and back sides of your insurance card and an identification card.

Please choose either the under 18 Client Data Form or the Adult Client Data Form, and the Permission to Evaluate and Treat, An ROI for the insurance companyt, a telehealth agreement and an insurance information form, if applicable.

 

Thanks!

Note: You will need Adobe(r) Reader(r) to view PDF files. If you do not have it, you can download it for free.

 

privateprac.ROI.2011.doc
Microsoft Word document [50.5 KB]
Under 18 Client Data Form.doc
Microsoft Word document [111.0 KB]
AdultClientDataForm.doc
Microsoft Word document [53.5 KB]
Permission to Evaluate and Treat.docx
Microsoft Word document [17.3 KB]
Telehealth agreement.pdf
Adobe Acrobat document [437.8 KB]
privateprac-feeagre-18.doc
Microsoft Word document [40.0 KB]
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