Counseling | St Cloud, MN

Care and Compassion for Adults, Adolescents, and Children
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INTAKE FORMS

Adults (18+)
Please fill out all forms below:

  • Terms of Billing
  • No Show & Cancellation Policy
  • Clinical Intake Form
  • Insurance Card Form
  • Driver’s License Form
  • Major Depression (PHQ-9) Scale
  • Cage-Aid Substance Use Screening
  • Generalized Anxiety Disorder 7-Item Scale
  • Patient Bill of Rights
  • HIPAA

Children (Under 18)
Please fill out all forms below:

  • Terms of Billing
  • No Show & Cancellation Policy
  • Clinical Intake Form
  • Insurance Card Form
  • Driver’s License Form
  • Major Depression (PHQ-9) Scale
  • Cage-Aid Substance Use Screening
  • Generalized Anxiety Disorder 7-Item Scale
  • Patient Bill of Rights
  • HIPAA
cookAdminINTAKE FORMS09.24.2014

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