Prior to attending your initial session, please print out each of the forms below (including the informed consent form of the clinician with whom you have been scheduled). After carefully reviewing them please sign each form and bring them with you to your initial appointment. Should you have any questions regarding the content of these forms, your clinician will be happy to assist you at the time of your initial appointment.

Please note: in the case that you cannot keep an appointment, please notify us at least 24 hours in advance by calling
507-446-8123.

Please Note: To open the forms you will need Adobe Reader.  If you do not have Adobe Reader installed on your computer you can download it for free HERE. 

• HIPAA privacy notice

• Acknowledgment of Receipt of Privacy Practices

• Consent to Use and Disclose Health Information

• Request for Restrictions on Disclosures

• Payment Contract

• Informed Consent (Larry Lodermeier, M.S., LP, LMFT)

• Informed Consent (Laura McKibbin, MSW, LICSW)

• Informed Consent (Cathy Luitjens, M.A., LP)

• Zung Depression Inventory

• Zung Self-Rating Anxiety Scale

• Mood Disorder Questionnaire

• Adult ADHD Self-Report Scale