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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.
*Please note that forms must be printed single sided (not double sided).
Initial assessment forms
Insurance benefit verification
Insurance benefit verification - Maple Grove, St. Louis Park & St. Paul clinics Insurance benefit verification - Woodbury & Burnsville clinics (PDF) Insurance benefit verification for Optum/UBH and Medica/UHC - Maple Grove, St. Louis Park & St. Paul clinics Insurance benefit verification for Intensive Residential & Residential (PDF) Insurance benefit verification for Partial Hospitalization program (PDF)