Submit a Referral
K.I.D.S. NW Behavior Services Referral
This referral form is intended to begin the process of enrolling a member into KIDS Behavior Services. Once this form has been received, a member of the KIDS NW Behavior Department will contact the Service Coordinator to request additional documentation and service agreements if this appears to be a good fit. *This form is secure and HIPAA compliant. If there are any questions or concerns feel free to contact us at (503)-437-4917 or info@kidsnw.org