Forms

New Patient Forms

Forms will be securely emailed to new patients after the initial 15 minute consult and before the first session.

Legal Disclosures & Forms


Notice of Privacy Practices 


Minnesota Patient Bill of Rights 


Minnesota Standard Release of Protected Health Information Form


LPCC License Verification 


No Surprises Act/Good Faith Estimate

Beginning January 1, 2022; all self-pay providers are legally required to offer a summary detailing expected costs of treatment. Laura will provide you a Good Faith Estimate by the end of the first session. 


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