About Us
Family Counseling Center
For Scheduling Call:  (763) 682-5420
Intake Paperwork- Please print all 3 forms and complete












If the client(s) is/are 18 or over choose the adult form
       Marital therapy clients print one for each
       party to complete

If the client is 11-17 choose the adolescent  form
       There is part for the parent and for the
        adolescent to complete

If the client is under 10 please choose the child form.



HIPPA Notice is for your records only



IN ADDITION please print the appropriate questionnaire that applies to you.
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