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!

Maple Grove Therapy Services

If you are seeking counseling for an adult, please print and complete:


If you are seeking counseling for a minor child or adolescent, please print and complete:

Please complete for children and teens who will be a client at any of our Minnesota locations:

If you are seeking couples counseling, please print and complete:


If you are seeking neuropsychological assessment for an adult or child, please print and complete:


If you are seeking counseling for Chemical Health or AODA help, please print and complete:


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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