Records requests can be sent to my secure e-mail: Jolyn.Zeller@proton.me
Appointment Phone: 503-763-1778 My Confidential Fax 503-980-7888
Office Phone: 503-763-1778 (may be forwarded to my cell so please leave a message)
If you have an emergency call 988.
You can download a release of information from my website below. if you would like records transferred to a
new provider, It is recommended that
you establish care before requesting a transfer as they need a chart to store
your information. My secure email to
send requests is Jolyn.zeller@proton.me. First request for electronic transmission is
free. Elaina Atwell-Furrow DNP will be
practicing from my current location and will assume custody of my record after
my retirement per legal requirements.
Administrative fees may apply.
Several options for coordination of care include
transferring to your primary care, or you may prefer someone specializing in
mental health. I recommend the following
although check with your insurance to make sure you are covered.
·
Health Information Portability and Accountability Act
Coordination of care with another provider requires a release of information (ROI). More information can be found on the HIPAA page.
Make sure the release is signed and that the mental health section is initialed not just checked.
Suggested providers
Elaina Atwell Furrow DNP,
PMHNP-BC 503-877-6053 Lizzy Dotson PMHNP-BC 971-312-7163
Andrea Ward, PMHNP-BC 971-312-7163
NW Behavioral with West
Salem Clinic, Sharon Voss, PMHNP-BC Must have pcp there,
for clinical integration 503-378-7526
Change of Insurance
If you need to update your insurance info please fill out the following form and provide a copy of your insurance card(s).
