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Thank you for providing the following information. Please download and print necessary documents and bring them with you to your first visit.  We look forward to meeting you!

 

 

 Client Demographics

Adult Intake Packet

Child Intake Packet

Ketamine Intake Packet

Just Breathe

Release of Information

Tele - Behavioral
Health Agreement 

Private Pay Agreement

Pdf File

Adobe PDF Documents can be downloaded and completed on your computer then printed. 

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Feel free to complete our contact form or call for an appointment today 651-307-4993  Thank you!
 
 
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Counseling & Mediation Solutions is located at
407 West Broadway Forest Lake, MN 55025
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© 2002 by Counseling and Mediation Solutions LLC

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