Assessments

Western Psychological & Counseling
Treatment with Jane Rekas at Western
Hypnosis adjunct to treatment
ADHD Treatment at Western
Jane Rekas, LCSW, CHt
880 82nd Dr., Gladstone, OR 97027 Building A
503-659-5515 x 1270

Submitdocs@westernpsychservices.com:
Clients can submit documentation to be uploaded into the EHR by sending it to this email.

New client forms: We are launching the use of DocuSign to complete NEW client documentation. Front desk will send clients a link to fill in the intake forms online, which are then signed, sent in, and then uploaded into NextGen.

Western Psychological Safety Plan
CAMS suicide form
School Based Program
Medical Rule Outs

Release of Information form

Alcohol Screen AUDIT

You can fill out the AUDIT here: https://tinyurl.com/7d58mbve

Other Alcohol Screeners

Client Portal
Western has a client portal for clients who are in services with us! Features include viewing and requesting changes in appointments, view statements or balances, access medication information and more. You can also pay off your balance through the portal!

Click here to sign up for the portal

You can also use an app for Next Gen Patient Portal
https://itunes.apple.com/us/app/nextgen-patient-portal/id1165589210

TREATMENT GOAL PLANNERS PDF1 PDF2

ADHD
ADHD
Adult ADHD self report
Western Standards

Anxiety
Beck Anxiety Inventory
Burns Anxiety Inventory
GAD-7 Anxiety (0-4 mild, 5-9 moderate, 10-14 moderately severe, 15-21 severe)

Take the GAD-7 https://tinyurl.com/y5p4kokm Make a Plan about GAD https://tinyurl.com/yy4lnp77

Types of anxiety

Bipolar
Mood Check
Goldberg Mania
Mood Disorder Questionnaire

Child

SNAP
Vanderbilt ADHD +
Take the Parent Vanderbilt online google form
Take the Teacher Vanderbilt online google form
(or right click copy save to send via your email)
Western Standards
Parent Questionnaire JWE SLE
Child Anxiety the SCARED
Take the SCARED online google form
CES-DC child depression printable
take CES-DC online google form
Children's Depression Rating Scale (CDRS)
DMDD Questionnaire
Highly Sensitive Child
ODD brochure
ODD rating scale
PTSD child scale
Barkley Home Situation scale
School Situation scale
Social Challenges Questionnaire
Trust Events Survey for Children and Adolescents
Child PTSD Symptom Scale
UCLA PTSD Adolescent Index and Scoresheet
Child Dissociative Checklist
Austism and https://www.aspergerexperts.com/
Sensory Integration Services: https://sensorykidsot.com/
Making Sense of Sensory Disorder
Family Guide to Sensory Integration
Sensory Checklist
complete this Sensory Checklist google form
Sensory Integration Objectives

Parent Child Interaction Therapy

We have specialty-trained Parent Child Interaction Therapy providers who can treat children ages 2.5 - 6 experiencing behavioral challenges under most insurances. Please send your referrals to Cornell West if you would like to refer to this program. Sessions are held via zoom, however, there can be exceptions created for some situations given the client need and room setup (providers are behind a one way mirror). Reach out to Julie K.

Core Beliefs