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Committed to providing support and care to the Plymouth and wider Twin Cities community for over 15 years

Forms

Please complete forms and bring to your intake appointment

Provider Referral Form

For a psychotherapy or neuropsychological assessment appointment:

Online Forms

Release and Exchange of Information- Physician
Release and Exchange of Information- Other provider, school, therapist

For Telemedicine Appointments

Online Forms

Telemedicine Consent

The following forms are for your review

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