Individual Provider Application

Applying as a clinic? Use our clinic application >

After You Apply - Once we have reviewed and accepted your application, we will email you to schedule a 30-minute welcome call. After the welcome call, you will be required to complete a 2.5 hour online orientation. Are you a veteran or a SBHP provider? If yes, you may be eligible to bypass the online orientation

Browser - This application works best on Google Chrome or Firefox. If you are having difficulty accessing the application, please consider using a different web browser or try our stand alone application form. You can also call us at 503-954-2259 or send us a message.