Forms & Documents

Online Pre-Registration

(New clients ONLY)

In order to get started with one of our therapists, you are welcome to complete the online registration. You may also contact us at our office (612) 254-0500.

At this time we are only seeing clients virtually.

Appointments are subject to availability

Admin Request and/or File Uploader!

Use this form to contact our administrative team for any requests or if you need to send any documents to us.

Click Button to upload forms, documents or pictures to us. Multiple items can be uploaded by using this tool from any device.

We accept: pdf, doc, docx, xls, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif.

Forms

Release of Information Consent

Insurance Request Form

INTAKE FORMS

(Use only if unable to use Client Portal forms after account creation)

Intake forms can be downloaded, printed and filled out to bring with you to your first appointment or emailed to main office at admin@levancounseling.org

Intake - Adult (18 and over)

Intake - Child/Teen (17 and younger)