Online New Client Intake Forms

Our new client forms are now available to be completed online!  These form are easy to fill out, HIPAA secure, and can be signed and submitted from the comfort of your home. 

Therapy Online Intake Forms

Click the link above to fill out the new client therapy forms before your appointment. Include assessments, disclosures, and release forms.

ASTAT Online Intake Forms

Click the link above to fill out the new ASTAT client forms before your appointment. Include assessments, disclosures, and release forms.

Psychiatry - Under 18 Online Intake Forms

Click the link above to fill out the intake forms for psychiatry patients under age 18 before your appointment. Include assessments, disclosures, and release forms.

Psychiatry Age 18 & Older Online Intake Forms

Click the link above to fill out the intake forms for new psychiatry patients age 18 and over before your appointment. Include assessments, disclosures, and release forms.

Case Management Online Intake Forms

Click the link above to fill out the intake form for new Case Management patients.

Other Online Client Forms

Online Release of Information Forms

Online Health & Wellness Questionnaires (Screening Tools)

Optum Adult Wellness Form

For the Optum Adult Wellness form, please click above to access a PDF of the form. You can fill it out on your computer and print it out, or print the form and then fill it out. Once you've completed the form, please fax it to our office at 651-454-3492 or drop it off at one of our clinic locations.

Optum Youth Wellness Form

For the Optum Youth Wellness form, please click above to access a PDF of the form. You can fill it out on your computer and print it out, or print the form and then fill it out. Once you've completed the form, please fax it to our office at 651-454-3492 or drop it off at one of our clinic locations.

Communication Forms

Consent to Emergency Text / Email Notifications

Form to opt in to receive emergency notifications via text or email

Brochures & Documents

ADHD Brochure

Adult ADHD Treatment Program

ASTAT Brochure

Adolescent Short-Term Assessment and Treatment Program

DaTRAC / STAT Brochure

Adult Day Treatment Program / Short-Term Assessment and Treatment Program

MMHC Crisis Phone Numbers

Should you need to talk to someone right away, the following crisis lines are available 24 hours, seven days a week.