Northvale Behavioral Health
Professional Referral Checklist
9015 SW 19th Ave, Portland, OR 97219 · P: 503-477-6138 · F: 503-477-6349 · info@northvalebh.com
Use this checklist to gather information that may assist Northvale Behavioral Health with an initial referral review. Submission of these materials does not guarantee admission.
Completed referral form
Current clinical or behavioral health summary
Current medication list
Current provider and care-team information
Current placement information
Funding or authorization information
Relevant behavioral history
Known safety concerns
Guardian or legal representative information, if applicable
Discharge or transition documentation, when available
A note on documentation
Not every item is legally required. Specific documents may be requested depending on the referral, payer, or care coordination needs.
Emergency notice
This checklist and website are not monitored for emergencies. Call 911 for immediate danger or call/text 988 for crisis support.