Patient Referrals

This page is updated frequently to describe our current referral criteria.

We are currently accepting patients.

We accept referrals for:

  • Bariatric surgery psychiatric evaluations.
  • Gender affirming surgery psychiatric evaluations.
  • Ongoing psychiatric medication management.

Financial:

  • OR, WA, MN, UT, AZ: Commercial insurance plans, self-pay. We do not accept patients who have Medicare or who are eligible for Medicare. We do not bill Medicaid.
  • OR, WA: Patients in OR and WA who have Medicaid insurance may not self-pay for services.
  • UT, MN: Patients who reside in UT and MN who have Medicaid insurance may self-pay for services.

Patient Criteria:

  • Reside and located in Oregon, Washington, Utah, Minnesota, or Arizona.
  • Ages 18-64. Ages 13-17 in OR, WA with select insurance panels (all Skycloud panels Summer 2023). Ages 16-17 in UT with referral only. Contact admin@skycloudhealth.com to refer an adolescent.
  • Appropriate for telehealth level of care (contact us at admin@skycloudhealth.com with specific questions about these criteria).
  • We prescribe controlled substances only locally in Oregon and Clark County, Washington.*
  •  Controlled substances require an in-office visit at office near Portland, Oregon or Eugene, Oregon, prior to issuing a prescription, starting in November 2023.*
  • We do not complete disability paperwork or emotional support animal letters.
  • We do not treat opioid use disorders (we do not prescribe Suboxone, methadone).

Patients can register by clicking Get Started on our website. Clinicians and organizations can contact us by phone at 503-694-3381 or email admin@skycloudhealth.com with questions about referrals.

 *The DEA’s final call on prescribing C2s via telehealth after the Public Health Emergency will determine whether we continue to accept patients for ADHD evaluation and/or treatment in other parts of Washington or who are in Oregon but unable to attend one in-office visit, with a formal referral from a DEA-registered provider who has seen the patient in-office recently, after November 2023. Check back here for a referral template when more guidance on this matter is available.

Holistic Psychiatric Treatment
at Home in OR, WA, UT, MN, and AZ

Getting better starts now,
with Skycloud by your side

Get Started

The following questions will match you with the provider best suited to your needs. Are you the patient?

The potential patient, or their parent/guardian, must fill out this form. Identification will be requested during the process. If they are not available, please direct the potential patient to this page at a later time. Health care providers can find referral information here.

We are taking patients ages 13-17 with certain specified insurance panels in OR and WA, and patients 16-17 with a referral in UT. “You” in the following slides refers to the potential patient.

Are you seeking psychotherapy, medication management, or another evaluation type?

Our psychotherapy caseload is currently full. Click here to join the waitlist.

Our psychotherapy caseload is full. Click here to learn more about psychiatric evaluations, which can help you determine a treatment plan. Call us at 503-694-3391 or email admin@skycloudhealth.com with any questions.

Our psychotherapy caseload is full. Click here to learn more about psychiatric evaluations, which can help you determine a treatment plan. Call us at 503-694-3391 or email admin@skycloudhealth.com with any questions.

Limitations of Skycloud:

  • – We do not offer emotional support animal letters.
  • – We do not offer evaluations for disability or legal reasons.
  • – We do not accept Medicare or Medicaid.
  • – We do not provide work or academic accommodations. We can provide a diagnosis letter in the context of ongoing psychiatric care.
Resources

Have you attempted suicide in the past?

When was your most recent suicide attempt?

Unfortunately we do not have clinicians who are able to treat you via telehealth at this time. Please contact clinic at (503) 694-3381 with questions and check our list of resources.

Have you ever been hospitalized in a psychiatric unit or stayed in a residential mental health facility?

When was your most recent hospitalization or stay in a residential mental health facility?

Where do you reside?

We are only offering services in Oregon, Washington, Utah, Arizona, and Minnesota at this time.

Are you seeking a prescription for a stimulant (e.g. Adderall, Ritalin) or benzodiazepine (e.g. Ativan, Xanax) medication?

Are you seeking a prescription for a stimulant (e.g. Adderall, Ritalin) or benzodiazepine (e.g. Ativan, Xanax) medication?

Are you seeking a prescription for a stimulant (e.g. Adderall, Ritalin) or benzodiazepine (e.g. Ativan, Xanax) medication?

Are you seeking a prescription for a stimulant (e.g. Adderall, Ritalin) or benzodiazepine (e.g. Ativan, Xanax) medication?

We prescribe controlled substance medications (i.e. stimulants, benzodiazepines) only to patients in OR and WA with a minimum once yearly in-office visit near Portland, OR or Eugene, OR when clinically appropriate (please view our stimulant policy). It may be helpful to note that in our practice, we rarely use benzodiazepines (e.g. Xanax, Ativan, Klonopin). Starting in November 2023, an in-office visit will be required prior to initiating a controlled substance prescription, per federal law. Contact admin@skycloudhealth.com with questions.

Starting in November 2023, an in-office visit near Portland, OR or Eugene, OR will be required prior to initiating a controlled substance prescription, per federal law. Click “Okay” to continue.

We prescribe controlled substance medications (i.e. stimulants, benzodiazepines) only to patients in OR and WA with a minimum once yearly in-office visit near Portland, OR or Eugene, OR when clinically appropriate (please view our stimulant policy). It may be helpful to note that in our practice, we rarely use benzodiazepines (e.g. Xanax, Ativan, Klonopin). Starting in November 2023, an in-office visit will be required prior to initiating a controlled substance prescription, per federal law. Contact admin@skycloudhealth.com with questions.

Starting in November 2023, an in-office visit near Portland, OR or Eugene, OR will be required prior to initiating a controlled substance prescription, per federal law. Click “Okay” to continue.

We do not prescribe stimulant, benzodiazepines, Suboxone, or other controlled substances in Minnesota. If you would still like to schedule, click Okay. To see other Resources, click “Resources.”

We do not prescribe stimulant, benzodiazepines, Suboxone, or other controlled substances in Utah. If you would still like to schedule, click Okay. To see other Resources, click “Resources.”

Which insurance plan do you have?

Which insurance plan do you have?

Which insurance plan do you have?

Which insurance plan do you have?

Which insurance plan do you have?

Which insurance plan do you have?

If your insurance was not listed, we may not be in your network. Please email billing@skycloudhealth.com to verify.

If your insurance was not listed, we may not be in your network. Please email billing@skycloudhealth.com to verify.

How old are you?

We do not have providers serving people under 18 at this time who accept your insurance. Email us for temporary self-pay options while our pediatric providers are in the credentialing process. Here is a list of resources.

Due to federal laws that prevent us from seeing patients who are qualified for Medicare as self-pay patients without opting out of Medicare, we are unable to see patients who are over 65 at this time. Here is a list of resources.

How old are you?

Currently, our providers who accept your insurance take patients ages 18+ or 16-17 with a referral. Providers in our practice who do not accept your insurance accept self-pay patients and are in the credentialing process with your insurance panel. Contact admin@skycloudhealth.com if you have a referral or would like to self-pay temporarily.

Due to federal laws that prevent us from seeing patients who are qualified for Medicare as self-pay patients without opting out of Medicare, we are unable to see patients who are over 65 at this time. Here is a list of resources.

How old are you?

We do not have providers serving people under the age of 13 at this time. Here is a list of resources.

Due to federal laws that prevent us from seeing patients who are qualified for Medicare as self-pay patients without opting out of Medicare, we are unable to see patients who are over 65 at this time. Here is a list of resources.

How old are you?

We do not have providers serving people under the age of 13 at this time. Here is a list of resources.

Due to federal laws that prevent us from seeing patients who are qualified for Medicare as self-pay patients without opting out of Medicare, we are unable to see patients who are over 65 at this time. Here is a list of resources.

How old are you?

We do not have providers serving people under the age of 13 at this time. Here is a list of resources.

Due to federal laws that prevent us from seeing patients who are qualified for Medicare as self-pay patients without opting out of Medicare, we are unable to see patients who are over 65 at this time. Here is a list of resources.

Our provider is in process of panelling with your insurance. You can see him at a discounted self pay rate until he is contracted. Click below to schedule.

Resources

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

In-person intake appointments with Madeline Jacobs are only available on Tuesdays in Clackamas, Oregon.

*Note: All times are in Pacific Standard Time (PST).

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

*Note: All times are in Pacific Standard Time (PST).

Registration forms must be completed within 24 hours of booking or appointment will be cancelled. Forms take 15-20 minutes to complete. Please have your payment method, state ID and insurance card available.

*Note: All times are in Pacific Standard Time (PST).

Dose/Med

Our providers will review your submission to determine if we are a good fit for your needs. It may be helpful to note that in our practice, we rarely use benzodiazepines (e.g. Ativan, Xanax, Klonopin). Please list the following required information: insurance, age, current medication names and dosages. If taking a benzodiazepine, specify if looking for assistance with tapering off the medication. If the potential patient is a minor, please note whether they have a history of self-harm.

Name(Required)
Name(Required)

Med/Dose

Our providers will review your submission to determine if we are a good fit for your needs. It may be helpful to note that in our practice, we rarely use benzodiazepines (e.g. Ativan, Xanax, Klonopin). Please list the following required information: insurance, age, current medication names and dosages. If taking a benzodiazepine, specify if looking for assistance with tapering off the medication. If the potential patient is a minor, please note whether they have a history of self-harm.

Name(Required)
Name(Required)

Are you seeking a prescription for a stimulant (e.g. Adderall, Ritalin) or benzodiazepine (e.g. Ativan, Xanax) medication?

We do not prescribe stimulant, benzodiazepines, Suboxone, or other controlled substances in Arizona. If you would still like to schedule, click Okay. To see other Resources, click “Resources.”

Which insurance plan do you have?

If your insurance was not listed, we may not be in your network. Please email billing@skycloudhealth.com to verify.

Your information is kept confidential and helps us ensure we can provide you with care. Assistance: admin@skycloudhealth.com

If you are in a mental health crisis, do not use this form, call 988.