Gregory R. Culver MA, LPC Licensed Professional Counselor
Gregory R. Culver MA, LPCLicensed Professional Counselor

Client Forms

New clients will need to fill out some forms before therapy can begin. To make the process as smooth and efficient as possible, the most important documents are provided as downloads right here on my website.

 

Simply click on a form to download, print, complete and return the documents to me at our next appointment.  All forms are also available at my office, however, filling them out in advance saves time.

If you are unsure which forms to fill out, don't hesitate to contact me.

 

My fee is $150.00 per hour.  I can bill most insurance as either an in-network or out-of-network provider.  Please consult your particular benefits plan if you are interested in using insurance.  I am currently in-network with the following carriers:

Aetna

Cigna

United Health Care/UBC

Oscar Health

Oxford Health

If you prefer to pay privately, I am also able to provide a reduced fee based upon your ability to pay.  

Note: You will need Adobe(r) Reader(r) to view PDF files. If you do not have it, you can download it for free.

Practice Information and Fees
Professional Disclosure Statement 2024.p[...]
Adobe Acrobat document [56.8 KB]
Client Information Form
Face Sheet template.pdf
Adobe Acrobat document [39.7 KB]
Consent to Treatment
Consent to treatment.pdf
Adobe Acrobat document [50.1 KB]

Location and Contact

West Bay Center

16780 Bryant Rd., #1

Lake Oswego, OR 97035 

 

Phone: 971-277-8378

 

Email: gcculver@gmail.com

 

Web: www.humanknot.com

 

Contact Information Page

Office Hours

In-person or telehealth appointments are available.

 

Monday-Thursday

Daytime and evening appointments available.

 

Same day appointments may be available.

 

Weekend appointments may be available by request.

 

School-based appointments may also be available.

Client Forms

New client? Save time and reduce the amount of paperwork you have to fill out at your first visit.  Use the provided client PDF forms before your visit.

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