New Clients

IMPORTANT: To save you time, please click the button above to be taken to our electronic forms page.

If you are not able to complete the electronic forms, or prefer to print the forms and fill them out by hand, please click here.

PAPER FORMS:

Please read and fill out these forms prior to your first session.

FORMS TO READ
Client Policy
Communication Policy
HIPAA Information

ADULT CLIENTS - FORMS TO FILL OUT
Client Information Form
Physician Release Form
Patient Health Questionnaire
Generalized Anxiety Disorder Survey
Client Signature Form
Telehealth Informed Consent Form

MINOR CLIENTS - FORMS TO FILL OUT
Client Information Form
Consent to treat Minor
Physician Release Form
Safe Harbor Agreement
Client Signature Form
Telehealth Informed Minor Consent Form

Family Therapy Available in Hastings MN

Before your first session, please complete our Electronic Intake Forms (click the link or the button to the left).

If you prefer to use paper forms, please read the forms on the left under FORMS TO READ.  Once you done reading the above information, please print and fill out the additional forms on the left for either Adult clients (under the section ADULTS CLIENTS - FORMS TO FILL OUT) or Minor clients (under the section MINOR CLIENTS - FORMS TO FILL OUT).  Please bring these completed forms to your first session.

Fees: The fee is $150 per hour and psychological testing is billed on an hourly basis plus the cost of the test. An initial assessment session is required, and is billed at $160. We are currently a provider for all insurance companies.

If you need to cancel an appointment, we ask that you provide 24 hours notice by calling Monday through Friday. Please respect that we reserve this time for you.