Forms

These forms take most clients about 20 to 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. 


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 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 30 minutes early to allow yourself adequate time to complete them.

Thank you and we look forward to meeting you at your first visit!

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