Talking Twenties

For your convenience, we provide all services exclusively by telehealth (video).
We can only provide mental health services to residents of Oregon or Washington. Coaching can be done from anywhere!

Thank you for your interest in Talking Twenties! The information below helps us understand if we are good match for your goals.

For more details on the services we offer and our providers, please visit our website.

Your information

First name

Last name

Email address

Phone number

Talking Twenties may contact me by:

Phone

Text

Your goals

What are you looking for?

Medication

Therapy

Coaching

I don't know!

Other issues not included above

What are your goals in therapy? What do you hope to get out of working together?

More details help us pair you with the right therapist.

Coaching goals

Please include what you hope to get out of working together.

Your details

Date of birth

Current medications

Please include all prescriptions you are currently taking.

Has a mental health professional ever given you a diagnosis?

Please note: Because of federal telehealth laws, we are unable to prescribe controlled medications used for ADHD (e.g. Adderall, Concerta, Vyvanse, Ritalin) or anxiety (e.g. Xanax, Ativan, Klonopin, and Gabapentin).

I understand Talking Twenties cannot prescribe controlled medication.

Why were you hospitalized?

Suicide attempt

Suicidal thoughts

Unusual/Odd Behavior

Mania

Psychosis

Something else

Insurance & Payment

We are in-network with Blue Cross Blue Shield, Regence, Premera, Pacific Source, Moda, Aetna & Lifewise

For other insurance plans, we can provide a receipt of services for you to request reimbursement from your insurance company. Insurance will not cover coaching services.

We cannot see people insured by Medicaid, OHP, or Apple.

I confirm I am not insured by a Medicaid insurance plan.

If you're using insurance, upload a picture of the front and back of your insurance card. We cannot confirm your appointment without a copy of your insurance card.

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Please upload a file

Additional information

Is there anything else we need to know before scheduling your first appointment?

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