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Forms

Please print and complete the below forms and bring to your first session. In addition, if you're seeking couples counseling, please see below for the Couples form, to be completed by each partner.

Client Registration Form - download

Privacy Practices (HIPAA) - download

Checklist of Concerns and Characteristics - Adult - download


Couples Only

Couples Satisfaction Checklist - download

Couples Questionnaire - download


6053 Hudson Road Suite 152 - Woodbury, MN 55125 - 651 373 3886
Individual, Couples, Group and Clinical Supervision