Request appointment | Nicole Phelps, LCSW

Nicole Phelps, LCSW

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Reason for care

Select date & time

1 Appointment info

2 Prescreener

Reason for care

3 Contact information

What is the reason for seeking care?

Anxiety Attentional difficulties Behavioral issues Depression Grief Relationship issues Substance use Trauma Other

What mental health concerns or treatment have occurred in the past?

In therapy now In therapy in the past Taking psychiatric medication now Taken psychiatric medication in the past Hospitalized for mental health reasons now or recently Hospitalized for mental health reasons in the past Known neurologic or genetic disorder Attempted suicide in the past None of these apply

Will you be using insurance to cover services?

Please note I am only in-network with Cigna and Moda otherwise I am considered an out-of-network provider, and will provide you a superbill to submit to your insurance company for reimbursement. My rate is $160.00 per hour.

Yes No

Who is your insurance provider?

If your insurance carrier is not Cigna or Moda, then you will pay for services out of pocket

Moda Cigna I will not be using insurance to pay for services I will submit a superbill to my insurance company for reimbursement

For medical emergencies, contact your healthcare provider or call 911. For mental health crises, call or text 988.

Nicole Phelps, LCSW

503.298.5229

Lake Oswego

Main Location

201 B Avenue Suite 295
Lake Oswego, OR 97034-3134

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THE CLIENT PORTAL IS NOT TO BE USED FOR EMERGENCY SITUATIONS. IF YOU OR OTHERS ARE IN IMMEDIATE DANGER OR EXPERIENCING A MEDICAL EMERGENCY, CALL 911 IMMEDIATELY.