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Additional Resources
Forms and resources
Here you’ll find forms and information you might need before your visit to Melrose Center. We’ll let you know if you need to fill out a form before an appointment.
Forms
Initial assessment form – age 18 and older (Adult) (PDF) Initial assessment form – age 12-17 (Adolescents) (PDF) Initial assessment form – age 11 and under (Child) (PDF) Release authorization form (PDF) Verbal disclosure form (PDF) Insurance Benefit Verification - Maple Grove, St. Louis Park & St. Paul Clinics Insurance Benefit Verification - Woodbury & Burnsville Clinics