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Patient Portal

Request an Appointment

Please fill out the form below to request an appointment.

Client's Name Required

Client's Phone Required

Additional info or requests

Email Required

I am interested in counseling for Required

If selected "other" please list here

Location Required

Preferred Appointment Format

Either Telehealth or In Person

Telehealth

In Person

By providing a telephone number and submitting this form you are consenting to be contacted by SMS text message. Message and Data Rates may apply. You can STOP messaging by sending STOP and get more help by sending HELP. Required

Yes

Insurance Required

*Please notice that communicating via email and over the Internet is not secure. Even though it is unlikely, it is possible that your email might be intercepted and read by people other than your intended recipient. Required

I have read and understand the disclaimer.

To expedite scheduling, please also provide the following information. Thank you!

Full Legal Name of Client

Date of Birth

Full Address (including city, state and zip code)

Insurance ID/Member Number

Insurance Group Number (if applicable)

Email address for patient portal (Please note, this email must be for the client if 18+ or a legal guardian for minors.)

We offer appointment reminders. Would you like this via:

Text

Any scheduling preferences? (Please note, we have very high demand so the more flexible you are, the more likely we are to have options for you.

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Supporting a Loved One with Mental Health Challenges

Supporting a loved one with mental health challenges can feel overwhelming, especially when you’re unsure how to help. You might worry about saying the wrong thing, offering too much (or too little) support, or simply not knowing how to be there in a helpful way. The truth is: your compassion, presence, and willingness to understand […] The post Supporting a Loved One with Mental Health Chal… [more+]

763-210-9966

Fax: 763-210-6886

Patient Portal

View Our Locations

Request Appointment

763-210-9966

Fax: 763-210-6886

Patient Portal

View Our Locations

Request Appointment

Maple Grove, MN
12918 63rd Ave N
Maple Grove, MN 55369

10650 CR-81 N

Osseo, MN 55369

Located in Suite #116

Lakeville, MN
10621 165th St W
Lakeville, MN 55044

Roseville,MN
1935 County Rd B2 W
Roseville, MN 55113
Located in Suite #145

Hudson, WI
901 Fourth St
Hudson, WI 54016
Click Here for Suite Info

Eau Claire, WI
3610 Oakwood Mall Dr
Eau Claire, WI 54701
Located in Suite #203

2115 E Clairemont Ave

Eau Claire, WI 54701

Located in Suite #2

Connect with Collaborative Counseling:

MN and WI
763-210-9966

Appointment Request

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News &
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Supporting a Loved One with Mental Health Challenges

763-210-9966

763-210-9966

MN and WI 763-210-9966

Appointment Request

Request an Appointment

News & Information from Collaborative Counseling

Supporting a Loved One with Mental Health Challenges

763-210-9966

763-210-9966

MN and WI
763-210-9966

News &
Information
from
Collaborative Counseling