Forms

Below are our commonly requested forms. Feel free to print out the forms that you need.

Food Record Journal  (full page)
Food Record Journal
(half page)

Minnesota:

Save time by printing and completing the initial intake forms prior to your intake appointment:
Adult Intake Information (PDF)
Adolescent Intake Information (PDF)

Be sure to print and review the following information about our privacy and client rights policies.
Notice of Privacy Practices (PDF)
Client Rights & Responsibilities (PDF)

Need to share your health records? Please complete a MN Release of Information form.

Informed Consent for Therapeutic Services (PDF)

Washington:

Save time by printing and completing these forms prior to your intake appointment:
Adult Intake Information (PDF)
Adolescent Intake Information (PDF)

Be sure to print and review the following information about our privacy and client rights policies.
Notice of Privacy Practices - WA (PDF)
Client Rights & Responsibilities - WA (PDF)
Client Rights & Responsibilities - WA
(Audio)

Need to share your health records? Please complete a WA Release of Information form.

Informed Consent for Therapeutic Services - WA (PDF)