Toll Free: 800-417-3104 (In Oregon)     673-3104 (Roseburg)     Fax: 541-673-5023

 

Getting started is really quite simple.  Just download our Information Worksheet, Statement of Counseling Services Privacy Notice AND Fee Schedule, fill them out and fax or mail them to us (Fax number is at the top of this page, address is at the bottom).  Once we have received all four you can call us to schedule a face-to-face or telephone interview to discuss your options.

Download Statement of Counseling Services (PDF)
Must have Adobe Acrobat Reader to view and print.
Click here if you need Acrobat Reader
Download Debt Management Agreement (PDF)
Must have Adobe Acrobat Reader to view and print.
Click here if you need Acrobat Reader
Download Information Worksheet (PDF)
Must have Adobe Acrobat Reader to view and print.
Click here if you need Acrobat Reader
Download our Privacy Notice (PDF)
Must have Adobe Acrobat Reader to view and print.
Click here if you need Acrobat Reader
Download our Fee Schedule (PDF)
Must have Adobe Acrobat Reader to view and print.
Click here if you need Acrobat Reader
605 S.E. Kane     Roseburg, OR  97470
Oregon State Registration DM-80028