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New Patient Paperwork
The following forms and corresponding instructions have been provided for your convenience. Please note that these forms may not be the appropriate forms for all patients in all circumstances.

New Patient Form:

New patients can save time during their first appointment by completing the New Patient Form prior to their visit. Simply print out the New Patient Form, fill in the information requested, and bring the completed form with you to your appointment.

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Other Forms:

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If you have any questions or need more information, please contact us at (651) 283-3794 or by FAX at (651) 738-1881.

Health Insurance Plans
We are in-network with all major Minnesota health insurance plans, including the following:

  •     Blue Cross Blue Shields of MN (BCBS)

  •     Blue Plus

  •     Preferred One

  •     Health Partners

  •     United Healthcare

  •     United Behavioral Health

  •     Medicare

  •     Medical Assistance

  •     Medica

  •     Ucare

Green Leaves
Make A Referral

For service providers: Making a referral is quick and easy.

Simply fill out the online referral form or the attached referral form and fax to (651) 738-1881.

The referral will be processed within 1-2 days and the referral source will be informed of the outcome of the referral.  

Crisis
For mental health emergencies, please call 988. You will be directed to the closest mental health crisis triage team in your area.  Additional phone numbers for your respective counties are also listed below.

Anoka County – Crisis Response:  763-755-3801

Carver/Scott Counties – Crisis Response:  952-442-7601

Dakota County – Crisis Response:  952-891-7171

Hennepin County – Crisis Response – Adult:  612-596-1223

Hennepin County – Crisis Response – Children: 612-348-2233

Ramsey County – Crisis Response – Adults: 651-266-7900

Ramsey County – Crisis Response – Children: 651-774-7000

Washington County  – Crisis Response: 651-777-5222

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