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Direct Provider Referral 

Thank you for referring a patient to Kaizen Psychiatric Services!

In order to refer a patient, you can fax a referral generated by your EHR or you can submit the form below.

We look forward to working with you! 

Thanks for submitting! I look forward to working with you!

Mailing Address: 14845 SW Murray Scholls Ste 110, Box 412, Beaverton, OR 97007

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In Person Visits: 516 SE Chkalov Dr Ste 49, Vancouver, WA 98683

Phone: (360) 836-0171 

Fax: (618) 822-4174

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