If you have an upcoming initial appointment with one of our psychologists, please follow the appropriate link to print forms that you should complete and bring with you to your first appointment.

If you have questions about completing the forms, please contact us at 218-722-2005.

Dan D’Allaird, Psy.D

Child Intake Forms (Client under 18 years old)
Adult Intake Forms (Client 18 years and older)

Kelly Chaudoin-Patzoldt, PsyD

Child Intake Forms (Client under 18 years old)
Adult Intake Forms (Client 18 years and older)

Mitzi Doane, Ph.D

Child Intake Forms (Client under 18 years old)
Adult Intake Forms (Client 18 years and older)

Rich Duus, Ph.D

Child Intake Forms (Client under 18 years old)
Adult Intake Forms (Client 18 years and older)

Doug Heck, Ph.D

Child Intake Forms (Client under 18 years old)
Adult Intake Forms (Client 18 years and older)

Ryan Jagim, Ph.D

Child Intake Forms (Client under 18 years old)
Adult Intake Forms (Client 18 years and older)

 

For more information about our services, mission, and staff, please page through this website or call 218-722-2005.