Skycloud Health

What the service is

Skycloud Health is a queer-owned and operated outpatient mental health provider serving patients across eight states through a combination of in-person clinics and virtual telepsychiatry services. The company runs five treatment centers in Oregon, Washington, and Utah while extending psychiatric care to Minnesota, Arizona, New Mexico, and Nevada via video appointments. The practice describes itself as proudly LGBTQ+ affirming and explicitly offers transgender-affirming care, positioning itself as a welcoming entry point for LGBTQ+ individuals and those exploring their identities.

How care works and what you get

Skycloud operates two distinct service models. Patients in Oregon, Washington, or Utah can access in-person appointments at clinics in Clackamas (Oregon), Issaquah (Washington), or Layton (Utah), combined with virtual options when in-person visits aren't practical. Telehealth patients in the four additional states rely entirely on video consultations. The company does not require a referral to start care, and you can schedule online or by calling the main line at 503-694-3381. During intake, you complete registration forms within 24 hours of booking that take 15 to 20 minutes and request your insurance card and state ID.

The service addresses a wide range of conditions and offers multiple treatment modalities. For psychiatric needs, Skycloud provides medication management with ongoing monitoring for symptom control and side effects, psychiatric evaluations to diagnose behavioral or emotional conditions, and medication-assisted treatment specifically for opioid use disorder combining medication with counseling. On the therapy side, individual psychotherapy treats anxiety, depression, trauma, and life stressors; the company also offers couples therapy and EMDR (Eye Movement Desensitization and Reprocessing), a trauma-focused therapy for PTSD and unresolved traumatic experiences. Additional evaluations include ADHD testing and QB testing for ADHD, plus psychiatric consultations designed to help you understand what treatment you might need.

The conditions Skycloud names as commonly treated are ADHD, anxiety disorders, depression and mood disorders, OCD, opioid use disorder, PTSD and trauma-related conditions, and panic disorder. The company adds that if your concerns don't fit these categories, their team can help guide you during an initial consultation. Primary care services are also available, and the company offers GLP-1 weight loss therapy, a medication-assisted approach for weight management.

Psychotherapy caseloads vary by state: in Oregon, psychotherapy is currently available for new patients, while patients in Washington and Utah can join the waitlist, which ranges from 1 to 12 months depending on age, state, and insurance. For psychiatric evaluations, the company is currently accepting new clients, and you can schedule an appointment or join the waitlist based on your needs. The staff includes PMHNPs (Psychiatric Mental Health Nurse Practitioners) and licensed therapists, and the company explicitly states services are "provided by licensed therapists in the state you're located in."

Insurance, coverage, and geographic reach

Skycloud accepts a substantial list of insurance plans, though coverage varies by state and service type. Accepted plans include Aetna, BCBS (which includes Regence and Premera in Oregon and Washington, and Regence in New Mexico), Cigna, ComPsych, First Choice Health, Medicaid (Oregon Health Plan, CareOregon, and Trillium in Oregon; Apple Health in Washington; select plans in other states), Medicare, Moda, PacificSource, Partner Direct Health (PDH), Providence, Samaritan, and United. For plans not listed, the company recommends emailing billing@skycloudhealth.com to verify in-network status. Many providers at Skycloud are in the process of panelling with additional insurance companies, and you may be offered a discounted self-pay rate until a provider is fully contracted.

The service is available in Oregon, Washington, Utah, Minnesota, Arizona, New Mexico, and Nevada. In-person clinics operate in Clackamas and Portland (Oregon), Salt Lake City (Utah), and Issaquah (Washington). Virtual psychiatry extends to the four additional states listed above. This geographic footprint matters for controlled substance prescribing: the company prescribes stimulants and benzodiazepines only to patients in Oregon, Washington, Utah, and New Mexico, requiring a minimum of one in-person visit per year at one of the three in-state clinic locations (Clackamas, Issaquah, or Layton) when clinically appropriate. In the company's own words, "we rarely use benzodiazepines" and patients should note the policy on stimulant prescribing. The service does not prescribe stimulants, benzodiazepines, Suboxone, or other controlled substances in Minnesota or Arizona. Opioid use disorder treatment with medication-assisted therapy is available only in Oregon, Washington, and Utah.

Age, languages, and who Skycloud serves

The company accepts patients ages five and older; it does not see clients under five years old. Some services have an age floor of 13. The practice provides care in both English and Spanish; patients may request their preferred language to support clear communication throughout treatment. The site prominently states "Hablamos español" in its navigation, underscoring bilingual support as a core feature.

As an LGBTQ+ affirming practice, Skycloud emphasizes creating "a respectful and supportive environment where patients feel understood and safe throughout their care," explicitly naming this for "LGBTQIA+ and transgender individuals." The company is queer-owned and operated and markets itself on this identity.

What Skycloud does not say

The company does not publish detailed pricing information without account setup; no fee schedule appears on the public pages. If you need to understand what appointments or ongoing treatment will cost out-of-pocket, you'll need to complete registration or call the office directly. The site also does not specify how long initial psychiatric evaluations or therapy appointments typically run, or what the evaluation process entails in detail. Specific credentials for individual providers are not listed on the main site. The company does not offer evaluations for disability or legal purposes, which is worth confirming if that is a need you have.

For those seeking psychotherapy specifically, the waitlist timeframe in Washington and Utah (1 to 12 months) could be a limiting factor, and the threshold of 12 months exists depending on your age and insurance. Skycloud does not offer telehealth services to patients under 13 in some states based on their intake questionnaire, so families with younger teenagers should verify eligibility.

Who it fits

Skycloud fits someone in Oregon, Washington, or Utah seeking in-person outpatient psychiatric and therapy services, particularly if you have insurance or can pay out of pocket. It also serves patients in Minnesota, Arizona, New Mexico, or Nevada willing to pursue care entirely by telehealth. The service is designed for LGBTQ+ and transgender individuals specifically, and Spanish-speaking patients will find a provider trained to serve them in their language. Someone managing opioid use disorder in Oregon, Washington, or Utah can access medication-assisted treatment, a high-evidence approach. Anyone seeking an evaluation to understand what kind of care they need, therapy, medication, or both, can start with a psychiatric evaluation. Patients with good insurance coverage in the listed plans will likely have manageable copays.

The service does not fit someone outside the seven available states, or someone in Minnesota and Arizona needing controlled substance prescriptions. If psychotherapy wait times longer than a year feel prohibitive, Washington and Utah may not be ideal. Someone requiring disability or legal evaluations will need to look elsewhere.