Adult Request for Services

Thank you for your interest services by Britteny Asher Consulting. We look forward to learning more about your unique needs. To request services for an individual, please provide us the following information. If you have any questions please feel free to contact us and we will assist you in every way possible.


Verification

Requested Documents to be provided/faxed to Britteny Asher Consulting prior to services

  • Consent of Release of Information - REQUIRED
  • Individual Summary Sheet
  • Individual Support Plan (ISP)
  • Protocols for a medical/emergency issues
  • MARS – Physician’s Orders
  • PCP – Person Centered Plan or Person Focused Worksheet
  • Risk Tracking Record

Once we have received this information we will contact you to set up an initial appointment.

Britteny Asher Consulting

PO Box 68798
Portland, OR 97267

Phone: 503 794 3976

Fax: 503 794 6828
brittenya@msn.com

We look forward to being a part of your success!

Warmly,
Britteny Asher Consulting