Forms
Our intake forms and online paperwork takes most clients about 30 minutes to read and fill out, so we recommend completing them prior to your visit. If you cannot complete them prior to your first session, please come early to allow enough time to finish them before your intake.
We do require you to complete your intake questionnaires in our patient portal which can be found here: Collaborative Counseling Patient Portal. If you do not have an opportunity to complete your paperwork and online forms, we will spend time during your intake session to do so. If you need help setting up your portal please call us at 763-210-9966. Thank you!

Printable Forms
- Clinic Information and Client Policy Forms (updated as of July 20, 2022)
- Authorization to Release Confidential Information (Please complete authorizations for your therapist to coordinate care with your primary care doctor and other mental health providers.)
- Parental Agreement (This form only needs to be completed if the child or adolescent’s parents are unmarried or divorced.)
All clinical intake and patient history forms can be found on Collaborative Counseling's Patient Portal by clicking here. If you need help setting up your portal please call admin support at 763-210-9966.
Parental Agreement Forms
- Intake and patient history forms can be found on Collaborative Counseling's Patient Portal by clicking here. If you need help setting up your portal please call admin support at 763-210-9966.
- Clinic Information and Client Policy Forms
- Authorization to Release Confidential Information
(Please complete authorizations for your therapist to coordinate care with your primary care doctor and other mental health providers) - UBH Youth Wellness Assessment
(Complete Only if You Have Medica/UBH Insurance)
Please complete for children and teens who will be a client at any of our Minnesota locations:
- Strengths and Difficulties Questionnaire (Ages 3-4)
(To be Completed by Parent) - Strengths and Difficulties Questionnaire (Ages 4-10)
(To be Completed by Parent) - Strengths and Difficulties Questionnaire (Ages 11-17)
(To be Completed by Parent) - Strengths and Difficulties Questionnaire (Ages 11-17)
(To be Completed by Child or Teen)
We are happy to answer any questions you have about any of these forms. Please e-mail or call us with any questions or concerns. You and your therapist will discuss these forms during your first session.
If you do not have access to a printer for the paper forms or do not complete them prior to your visit, we have these forms available in the waiting room and just ask that you come about 15 minutes early to allow yourself adequate time to complete them. If you do not complete our online forms we will spend part of your intake session completing those documents online.
Thank you and we look forward to meeting you at your first visit!
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