Valley Mental Health is a licensed outpatient mental health clinic serving Marion and Polk counties where individuals who qualify for Medicaid/Medicare receive individual, group and family therapy.

We partner with you on your healing journey

We commit to provide excellent care and communication that is: Collaborative, Equitable, Supportive, Inclusive and Respectful

Serving children through seniors with individual and group treatment

  • Mental
  • Emotional
  • Developmental
  • Qualified Mental Health Professionals (QMHP)
  • Licensed Clinical Social Workers (LCSW)
  • Licensed Professional Counselors (LPC)
  • Certified Alcohol Drug Counselors (CADC)
  • Licensed Psychiatrists (MD)
  • Psychiatric Mental Health Nurse Practitioners (PMHNP)

1. You have the right to be treated with respect and dignity in a humane service environment that affords reasonable protection from harm and affords reasonable privacy.

2. You have the right to be provided services in a setting under conditions that are least restrictive to your liberty, that are least intrusive to you and tat provide for the greatest degree of independence.

3. You have the right to receive no services without informed voluntary consent except as permitted by law.

4. You have the right participate and to have other persons of your choice participate in the planning and provision of services with your consent.

5. You have the right to refuse services, including any specific procedure without suffering punitive consequences. If adverse consequences are expected to result from such refusal, that fact must be explained verbally to you and if appropriate, to your guardian.

6. You have the right to not be involuntarily terminated or transferred from services without prior notice, notification of available sources of necessary continued services and exercise of a grievance procedure.

7. You have the right to communicate privately with any public or private rights protection program or rights advocate.

8. You have the right to execute a declaration of mental health treatment.

9. You, and your guardian, if appropriate, have the right to be informed in writing of any fees that may be charged.

10. No person will be denied treatment or discriminated against on the basis of age except in cases where program criteria for service or staff skill restrict the service to specific age groups.

11. Treatment provided is non-discriminatory and sensitive to differences of race, color, creed, sex, handicap, national origin or duration of residence.

12. You have the right to lodge a grievance if you feel any of these rights have been violated.



If you have any questions about this notice, please contact administrative office at:

Valley Mental Health
821 Saginaw Street South
Salem, OR 97302
Phone (503) 589-4046


This notice describes the privacy practices followed by us, and the office personnel who manage our practice at the above address.


This notice applies to the information and records we have about your health, health status, and the counseling and care services you have received through Valley Mental Health. Your health information may include information created and received by your therapist, it may be in the form of written or electronic records or spoken words, and may include information about your health history, health status, symptoms, counseling, evaluations, test results, prescriptions, diagnoses, treatments, procedures, and related billing activity and/or similar types of health-related information.

We are required by law to give you this notice. It will tell you about the ways in which we may use  and disclose health information about you and describes your rights and our obligations regarding the use and disclosure of that information.


We may use and disclose health information for the following purposes:

  • For Treatment. With your written consent we may release information to your primary care physician and /or other treating physicians, therapists, counselors, care givers, office staff or other personnel who are involved in taking care of you and your health.For example, your doctor may be treating you for a health condition and may need to know if you have issues or problems that could complicate your treatment. The doctor may use this information to decide what treatment is best for you. We may need to confer with your doctor or another clinician in the field of our practice to assist us in a choice of treatment that would be best for you.Different personnel may share information about you and disclose information to people who do not work in your therapist’s office to coordinate your care, such as scheduling appointments and tests. Family members and other health care providers may be part of your medical care and may require information about you that we have.
  • For payment. We may use and disclose health information about you so that the treatment and services you receive may be billed to and payment may be collected from you, an insurance company or a third party.For example, we may need to give your health plan information about a service you received so your health plan will pay us or reimburse you for the service. We may also tell your health plan about a treatment you are going to receive to  obtain prior approval, or to determine whether your plan will pay for the treatment.
  • For Health Care Operations. We may use and disclose health information about you to make sure that you and our other clients receive quality care. For example, we may use your health information to evaluate the performance of the office personnel who are caring for you. We may also use health information about all or many of our clients to help us decide what additional services we should offer, how we can become more efficient, or whether certain new treatments are effective.We may also disclose your health information to health plans that provide you insurance coverage and other health care providers that care for you. Our disclosures of your health information to plans and other providers may be for helping these plans and providers provide or improve care, reduce cost, coordinate and manage health care and services, train staff and comply with the law.
  • Appointment Reminders. Office personnel may contact you by phone as a reminder that you have an appointment for counseling. Please specify to office personnel what phone numbers they may use to remind you of appointments. Please notify us if you do not wish to be contacted for appointment reminders.
  • Treatment Alternatives. We may tell you about or recommend possible treatment options or alternatives that may be of interest to you.
  • Health-Related Products and Services. We may tell you about health-related products or services that may be of interest to you.


We may use or disclose health information about you for the following purposes, subject to all applicable legal requirements and limitations:

To Avert a Serious Threat to Health or SafetyWe may use and disclose health information about you when necessary to prevent a serious threat to your health and safety or the health and safety of the public or another person.

Required by LawWe will disclose health information about you when required to do so by federal, state or local law.

Military, Veterans, National Security and IntelligenceIf you are or were a member of the armed forces, or part of the national security or intelligence communities, we may be required by military command or other government authorities to release health information about you. We may also release information about foreign military personnel to the appropriate foreign military authority.

Workers’ CompensationWe may release health information about you for workers’ compensation or similar programs. These programs provide benefits for work-related injuries or illness.

Public Health RisksWe may disclose health information about you for public health reasons to prevent or control disease, injury or disability; or report births, deaths, suspected abuse or neglect, non-accidental physical injuries, reactions to medications or problems with products.

Health Oversight ActivitiesWe may disclose health information to a health oversight agency for audits, investigations, inspections, or licensing purposes. These disclosures may be necessary for certain state and federal agencies to monitor the health care system, government programs, and compliance with civil rights laws.

Lawsuits and DisputesIf you are involved in a lawsuit or a dispute, we may disclose health information about you in response to a court or administrative order. Subject to all applicable legal requirements, we may also disclose health information about you in response to a subpoena.

Law EnforcementWe may release health information if asked to do so by a law enforcement official in response to a court order, subpoena, warrant, summons or similar process, subject to all applicable legal requirements.

Coroners, Medical Examiners and Funeral DirectorsWe may release health information to a coroner or medical examiner. This may be necessary, for example, to identify a deceased person or determine the cause of death.

Information Not Personally Identifiable. We may use or disclose health information about you in a way that does not personally identify you or reveal who you are.

Family and Friends. We may disclose health information about you to your family members or friends if we obtain your verbal agreement along with your written authorization to do so. We will give you an opportunity to object to such a disclosure and request you state this in writing. We may also disclose information to your family or friends if we can infer from circumstances, based on our professional judgment that you would not object. For example, we may assume you agree to limited disclosure of information to your spouse when you bring your spouse with you to a counseling session and have not requested in writing that any form of disclosures cannot be made.

In situations where you are not capable of giving consent (because you are not present or due to your incapacity or medical emergency), we may, using our professional judgment, determine that a disclosure to your family member or friend is in your best interest. In that situation, we will disclose only health information relevant to the person’s involvement in your care. For example, we may inform the person who accompanied you to the emergency room that you suffered a heart attack and provide updates on your progress and prognosis. We may also use our professional judgment and experience to make reasonable inferences that it is in your best interest to allow another person to act on your behalf.


We will not use or disclose your health information for any purpose other than those identified in the previous sections without your specific, written Authorization. If you give us Authorization to use or disclose health information about you, you may revoke that Authorizationin writing, at any time. If you revoke your Authorization, we will no longer use or disclose information about you for the reasons covered by your written Authorization, but we cannot take back any uses or disclosures already made with your permission.

We will need specific, written authorization from you to disclose certain types of specially-protected information such as HIV, substance abusemental health, and genetic testing information.


You have the following rights regarding health information we maintain about you:

Right to Inspect and CopyYou have the right to inspect and copy your health information, such as medical and billing records, that we keep and use to make decisions about your care. You must submit a written request to your therapist or our administrative office to set up an appointment to inspect and/or copy records of your health information. If you request a copy of the information, we may charge a fee for the costs of copying, mailing or other associated supplies.

We may deny your request to inspect and/or copy records in certain limited circumstances. If you are denied copies of or access to information that we keep about you, you may ask that our denial be reviewed. If the law gives you a right to have our denial reviewed, we will select a licensed health care professional to review your request and our denial. The person conducting the review will not be the person who denied your request, and we will comply with the outcome of the review.

Right to AmendIf you believe health information we have about you is incorrect or incomplete, you may ask us to amend the information. You have the right to request an amendment if your therapists keep the information.

To request an amendment, complete and submit a MEDICAL RECORD AMENDMENT/CORRECTION FORM to your therapist or Valley Mental Health, 821 Saginaw Street South, Salem, Or 97302.

We may deny your request for an amendment if your request is not in writing or does not include a reason to support the request. In addition, we may deny your request if you ask us to amend information that:

  • That your therapists did not create, unless the person or entity that created the information is no longer available to make the amendment
  • Is not part of the information that we keep
  • You would not be permitted to inspect and copy
  • Is accurate and complete

Right to an Accounting of DisclosuresYou have the right to request an “accounting of disclosures.”  This is a list of  the disclosures we have made of information about you for purposes other than treatment, payment, health care operations, and a limited number of special circumstances involving national security, correctional institutions and law enforcement. The list will also exclude any disclosures we have made based on your written authorization.

To obtain this list, you must submit your request in writing to your therapist or Valley Mental Health, 821 Saginaw Street South, Salem, Or 97302.

It must state a time period, which may not be longer than six years and may not include dates before April 14, 2003. Your request should indicate in what form you want the list (for example, on paper, electronically). The first list you request within a 12-month period will be free. For additional lists, we may charge you for the costs of providing the list. We will notify you of the cost involved and you may choose to withdraw or modify your request at that time before any costs are incurred.

Right to Request RestrictionsYou have the right to request a restriction or limitation on the health information we use or disclose about you for treatment, payment or health care operations. You also have the right to request a limit on the information we disclose about you to someone who is involved in your care or the payment for it, like a family member or friend. For example, you could ask that we not use or disclose information about a hospitalization you had.

We are not required to agree to your request. If we do agree, we will comply with your request unless the information  is needed to provide you emergency treatment or we are required by law to use or disclose the information.

To request restrictions, you may complete and submit the REQUEST FOR RESTRICTION ON USE/DISCLOSURE OF MEDICAL INFORMATION to your therapist or to our administrative office at Valley Mental Health, 821 Saginaw St South Salem, OR 97302.

Right to Request Confidential CommunicationsYou have the right to request that we communicate with you about matters in a certain way or at a certain location. For example, you can ask that we only contact you at work by phone or by mail.

To request confidential communications, you may complete and submit the REQUEST FOR RESTRICTION ON USE/DISCLOSURE OF MEDICAL INFORMATION AND/OR CONFIDENTIAL

COMMUNICATION to your therapist or office personnel of Valley Mental Health. We will not ask you the reason for your request. We will accommodate all reasonable requests. Your request must specify how or where you wish to be contacted.

Right to a Paper Copy of This NoticeYou have the right to a paper copy of this notice. You may ask your therapist or our office personnel to give you a copy of this notice at any time.


We reserve the right to change this notice, and to make the revised or changed notice effective from information we already have about you as well as any information we receive in the future. We will post the current notice in the offices for Valley Mental Health clinicians with the effective date in the top right-hand corner. You are entitled to a copy of the notice currently in effect.


If you believe your privacy rights have been violated, you may file a complaint with the Secretary of the Department of Health and Human Services. To file a complaint with our administrative office, please submit a grievance through our Feedback form. You can also request a feedback form by phone or in person at:

Valley Mental Health
821 Saginaw Street South
Salem, OR 97302
Phone (503) 589-4046

Valley Mental Health Policies and Conditions

This outlines key procedures of our practice. Please read it carefully and feel free to ask for clarification or any other questions you may have.


If you have a medical emergency please call 911.

Business Days: Our staff members are available to assist you by phone on business days between the hours of 8:30 am – 4:00 pm. You can reach our office by calling 503-589-4046.

Urgent Issues: For issues that cannot wait until the next business day and occur after hours or on holidays and weekends please reach your provider at the following:

    • For Ayako Garduque, David Wear, Jean Daniels, and Sandy Bassett please call (503)589-4046.
    • For Tymberly Seim call (503)330-1999.

Instructions are also available by calling our main office number (503-589-4046) and listening to the outgoing message.


 Medications will be managed and refilled during your appointments – PLEASE PLAN AHEAD. This will help in the following ways: 

    • We can confirm your medications, dosages, check for side effects and send in refills.
    • You will be prescribed enough medication to last until it is necessary to see you again.
    • You will have an opportunity to discuss any medication concerns you have directly with your prescriber.
    • You can request information about your prescribed medications or diagnoses
    • If calling in to request a refill please be sure to do so 3-5 business days before you are out of your medication

Make sure you have an appointment with your prescriber BEFORE you run out of any medications so they can be refilled during this time. Please see the section on Session Fees, above, regarding prompt payment of session fees to enable you to schedule sessions in a timely fashion.


    • Please make every effort to schedule future appointments at the beginning or end of a treatment session.
    • If you need to schedule or change an appointment time, please call our office at (503) 589-4046.
    • Your appointment time is reserved exclusively for you. It is necessary for you to cancel any appointment you cannot keep. There will be no charge for appointments cancelled 48 hours or more in advance. All appointments must be cancelled or rescheduled 48 hours before appointment to allow scheduling for other individuals. Please see the section on Session Fees, below, for further information about scheduling appointments only after paying outstanding balances.

Hours and Appointments

  • Office hours are by appointment.
  • We assume you are here for evaluation and treatment related to specific problem areas in your life. Your provider will work with you to assist you in making positive changes and, like all doctors, cannot guarantee results. You will benefit the most from treatment if you are committed to the process and attend appointments regularly.
  • Please plan to arrive for your appointment on time.
  • We make every effort to be on time. If we run over with a previous client, it is related to an emergent situation. Please be patient and we will do our best to make up the time to you.
  • Initial evaluations last 60-90 minutes. You will be asked to fill out various questionnaires. These will help your provider learn important information about you without taking up extra treatment time.
  • During the initial session, recommendations for treatment may be made including medication(s), therapy, or both. We may also decide to meet for one or two more 45-minute visits to get a full picture before recommendations can be made. Effective treatment requires a good match between a client and a provider. During your sessions, you and your provider together will determine if you are a good fit. If not, our office can assist you in finding a provider that might work better for you.
  • Medication follow-up appointments are generally 30 minutes.
  • Psychotherapy appointments are 45-50 minutes. When you feel you have made sufficient progress toward your goals and are ready to end therapy, or if you wish to take a break, it is useful to have 2 or 3 sessions for this ending phase.
  • Clients arriving late will be seen for the remaining time. At the discretion of their provider. Please be aware that individuals arriving more than 10 minutes after the start of their appointment will be rescheduled.
  • If you do not attend (no show) 2 or more appointments or have a history of last minute cancellations, your provider may not be able to continue treatment with you. You should receive a letter warning you of potential closure due to non-attendance and should discuss that with your provider. In the event that you are closed for services, our intake staff will be happy to assist you with names of providers in the area.


If you wish to review your medical records, please complete the Client Records Request Form. Our office will contact you once your request has been processed.


  • Clients with coverage through PacificSource Community Solutions or Open Card will not be charged for services. You should have received a fee schedule with your enrollment packet. If not please ask for one.
    • If acceptable insurance coverage is carried, our office will be happy to bill your insurance as a courtesy to you.
      • Regardless of insurance coverage, full payment for appointments is your responsibility.
    • If you are not covered by insurance the full fee will be required at the beginning of each appointment.
    • If a payment is not made at the time of visit, or you have an unpaid balance on your account, another appointment will not be scheduled until the payment is made.
      • If needed, a payment may be made over the phone by calling the billing department at (503) 315-8646 and then you may schedule your next appointment.
      • Medications will be managed and refilled during your appointments, so prompt payment will allow prompt scheduling and ensure that the medication management continues uninterrupted. Please see the section on Prescription Refills, below, for additional information.
    • If you have special circumstances and need to make payment arrangements, please work this out with our office prior to treatment. Our work together can best proceed when financial issues are worked out ahead of time.
    • Additional policies regarding fees:
    • Please know that there is a $25 charge for any returned checks.
    • Unpaid balances will be charged 2% per month after a bill is past due.
    • Unpaid accounts will be turned over to a collections agency after 6 months if there is no payment plan is in place and no payment is received


For professional growth and monitoring, we obtain professional consultation and supervision from our peers in the mental health field. In that context we may discuss your diagnosis and treatment plan but will not disclose your name or other identifying information.


We do not provide in-patient hospital care. Should you need hospitalization we will coordinate admission with a psychiatrist affiliated with a hospital who will assume your care while you are in the hospital. We will be in contact with them and will be able to resume care when you are discharged from the hospital. If you are hospitalized please sign a release of information for the hospital and have it faxed to us so we can continue to coordinate your care with the hospital providers. This allows them to send us your discharge information and we will be able to resume your care once you are discharged.

At Valley Mental Health we treat mental, emotional and behavioral problems. Our goal is to provide compassionate and professional treatment that meets the needs of the individuals we serve.

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Who We Serve

  • children
  • teens
  • adults
  • seniors
  • developmentally disabled

Individual therapy through a range of emotional mental and developmental needs

Services Offered

Types of Therapy

  • Individual
  • Cognitive-Behavioral Therapy (CBT)
  • Acceptance and Commitment Therapy
  • Brief Solution-Focused Therapy
  • Interpersonal Psychotherapy (IPT)
  • Age-specific therapies for children and geriatric populations
  • Gender identity
  • EMDR
  • Play Therapy
  • Trauma-Informed therapy
  • Culturally-specific therapy
  • Couples Counseling
  • Family Therapy
  • Parent Child Interaction Therapy
  • Parent/Child Psychotherapy
  • Dialectical Behavioral-Therapy (DBT)


VMH clinicians specialize in a broad-range of services. Some areas of specialty include: Dialectical Behavioral-Therapy (DBT), Cognitive-Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), Brief Solution-Focused Therapy, Interpersonal Psychotherapy (IPT), age-specific therapies for children and geriatric populations, Gender identity and transition, EMDR, Brainspotting, Play Therapy, Theraplay, Equine Therapy, trauma-informed and culturally-specific therapy.

  • Child Mental Health
  • Adolescents
  • Transition Aged Youth (17-21)
  • Adults
  • Foster Care
  • Developmental Disabilities
  • Geriatric populations
  • Persons with Severe and Persistent Mental Illness (SPMI)
  • Individuals identifying with the LGBTQ+ communities
  • Individuals exploring gender identity and/or transitioning to their true gender
  • Individuals who identify with populations that have faced historical oppression, including racial or cultural groups
  • limited capacity for this specialty

Conditions Treated

  • limited capacity for this specialty
  • Post-Partum Depression
  • Domestic Violence
  • Transition to Adulthood
  • Teens in substitute care
  • Child Abuse
  • Depression
  • Anxiety
  • Psychosis support
  • Anger Management
  • Phobias
  • Self-Harming behaviors
  • Suicidal Ideation
  • Parenting Skills
  • ADHD
  • Spiritual Concerns
  • Fetal Alcohol Syndrome
  • Disability Issues
  • Dementia
  • Death & Dying Issues
  • Grief & Loss
  • School Behavior
  • Academic Issues
  • Learning Disorders
  • Trauma
  • PTSD
  • Abuse
  • Child Development
  • Women’s Issues
  • Men’s Issues
  • LGBTQIA Issues
  • Multicultural Challenges
  • Sexuality Concerns
  • Native American Integration Trauma
  • Cultural conflicts
  • Caregiver burden
  • Life Transitions
  • Autism Spectrum
  • Chronic Illness
  • Adjustment/Life Stressors
  • Eating Disorders

Valley Mental Health

  • 30 clinicians
  • 5 Licensed Medical Providers
  • 7 Qualified Mental Health Associates

Frequently Asked Questions

If you have an immediate emergency contact 911 or the Psychiatric Crisis Center at 503-585-4949 or their website here.

Contact your therapist.
On your first appointment you will be given written information about how to contact your therapist in an emergency. If an emergency occurs after office hours, the message on the Valley Mental Health answering machine will give you instructions about how to contact someone for help.

The Psychiatric Crisis Center is located at 1118 Oak Street SE, just east of Salem Hospital. The Psychiatric Crisis Center is staffed 24 hours a day every day. If you are going there in person, here is a map of the location

You can find your provider’s link here Online Appointments

Therapists manage their own schedules. Contact your therapist directly with the number they provided you. If you’re not sure, there should be an email sent by our intake department at the time you scheduled your first appointment.

Our medication providers call one time for phone appointments. If you missed the call, please call us back as soon as you can and press option 5. If you call back 10 minutes after the appointment time or later your appointment will be missed, and you can reschedule your appointment with the front desk.

There has been a nationwide shortage on some medications. Many of VMH clients are experiencing their pharmacy not always having their regular medications in stock. While your regular pharmacy might be temporarily out of stock, there are many pharmacies in town that carry the medication. We ask that you call the other pharmacies in town and call our clinic at 503-589-4046 letting us know which pharmacy has the medication, the dosage and whether they have the extended or immediate release.

After we send out a prescription to a pharmacy, we cannot move that existing script to a different pharmacy. Please call the new pharmacy where you would like to fill your medications and ask them to contact the old pharmacy where the prescriptions were originally sent and the new pharmacy pull the prescriptions to fill at the new pharmacy.

It’s totally understandable to want to transfer to a different therapist, sometimes people just don’t click! This is a normal process, and we ask that you contact your existing therapist to request they start the transfer process.

You can request your records by filling out this Forms or come to our clinic at 821 Saginaw St. South to fill out the records request form in person.

VMH primarily serves clients with PacificSourceMedicaid insurance in Marion and Polk County. We will work directly with the  PacificSource to confirm your coverage. If you have any questions about coverage please contact our Intake department at 503-589-4046.

You do not need a referral to request services from Valley Mental Health. Once in services, your team will work closely with your medical provider to coordinate all of your health and care needs.

Contact our office at 503-589-4046 or fill out the new client request form here and our intake department will work with you to match you with the clinician that meets your needs.

We know that finding the right provider or therapist is the first step in the process. Our helpful intake team will do an in-depth screening with you and can guide you through the process. Please request specific areas of treatment that you are interested in at the time while working with them.

Please request Prescription Refills with your prescriber during your scheduled appointment. If you need a refill before your next scheduled appointment, call your pharmacy at least four days before your medications run out. Even if you have no refills remaining, it is best to call your pharmacy. If a prescriber’s approval is needed for your prescription to be refilled, your pharmacist will call or fax us.

No, you will need to call our clinic at 503-589-4046 to request a refill of your controlled medications.

Schedule II medications are closely monitored. Federal law requires that certain medications need a new, original prescription, written by your prescriber each time the medication is dispensed. It is not possible to have these prescriptions with refills.

If you are requesting refill of a prescription for a schedule II medication, please leave your prescriber a voice mail with the following information:

Your name and phone number
Prescription number
Name of the medication
Whether it is immediate release or timed release
Strength of the tablets or capsules
How many you take per day.
Unless you need to come in for an evaluation, you can expect a call back within 48 hours.

Medication Clinic:

The clinic’s phone hours are from 8:30AM to 4:30PM. Our providers offer appointments within normal business hours.

Most of the therapists in VMH keep their own schedules, offering a range of hours. After hours, a qualified professional is always on call to handle emergencies.

Valley Mental Health clinicians work in a variety of convenient locations in and around Salem, Oregon. The main administrative offices of VMH are located at 821 Saginaw Street S in Salem, on the southwest corner of Mission and Saginaw Streets, half a mile south of downtown.

If location is an important factor in your choice of mental health services, you may request a clinician in your area when you request services. Call our Intake department at 503-589-4046.

Check your junk mail/spam inbox. If there are no links/paperwork reach out to our intake department at [email protected] and ask them to resend the paperwork.