Clinic Forms – For Your Reference
Listed below are links to various clinic forms used during the intake and treatment process. These forms are provided for reference only so you can review what will be sent to you electronically. All required forms must be completed and signed electronically prior to scheduling any appointments.
There is no need to print or bring anything with you, as all documents will be handled securely through our electronic system. Signing these forms in advance confirms your consent to treatment and clinic policies.
Policies and Consent Forms
- Adult Patient Information and Consent
- Child and Adolescent Patient Information and Consent
- Confidentiality Laws in Minnesota for Child and Adolescent Patients
- Notice of Privacy Practices of Lifespan Mental Health PLLC
- Telehealth Consent Form
- Informed Consent for Controlled Substances Policy
- Lifespan Mental Health Payment Authorization
Note: To download Adobe Acrobat Reader for free, click here.
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