Read Only Forms

Please read and retain for your records.

Download PDf Treatment Guidelines
Download PDf Electronic Communication Form
Download PDf Privacy Policy
Download PDf Client Bill of Rights

Complete and Return Forms

These forms can be downloaded, opened, completed on your computer in Adobe PDF format.
To edit and save the PDFs you will need the free Adobe Acrobat Reader, available here.

After completing the forms, you can return them using the website form here.

Download PDf Registration Form
Download PDf Treatment Consent Form
Download PDf Intake Questionnaire Form
Download PDf Release of Information Form (optional)
Download PDf Authorization For Credit Card Payment (optional)

If you prefer not to fill them out on the computer and email them to me, you may also print them, complete them by hand and mail or give them to me at our first meeting.

Send Completed Forms

Phone: 763.595.7294 | 5101 Olson Memorial Highway, Ste. 4004, Golden Valley, MN 55422