Patient Forms

THESE INTAKE FORMS ARE ESSENTIAL FOR OUR NEXT STEP
Thank you for taking this next step in working with us. We have tried to set it up so it is not overwhelming but easy and manageable. We realize that there are many forms to review. Please take your time and review the information carefully. If you have any questions please give us a call.

Checklist


Client Information Sheet


Consent Form


When You Visit The Neuropsychologist


Neuropsychological Assessment Frequently Asked Questions


Referral Form


Billing Policy


Statement of Patient Financial Responsibility


Insurance Sheet


Notice of Privacy Practice


Follow Up History Form


Resources

Attention Deficit/Hyperactivity Disorder (ADHD)


Information on Stimulant Medication for the Treatment of ADHD Symptoms


Alternative ADHD Treatments


Autism Spectrum Disorder


Childhood Anxiety


Childhood Depression


Do I Really Need a Therapist?


Executive Functioning


Kids and Internet Safety


Talking with Children about Violence


The Importance of Exercise


Autism Society of Minnesota

www.ausm.org

Autism Speaks

www.autismspeaks.org

Catholic Charities

www.ccstcloud.org

CentraCare Child and Adolescent Behavioral Health Services

www.centracare.com

Dr. David Tilstra, M.D., CentraCare Genetics Clinic

www.centracare.com

Children and Adults with Attention-Deficit/Hyperactivity Disorder

www.chadd.org/

Don Johnston Company (for children with learning and physical disorders)

www.donjohnston.com

HealthyChildren

www.healthychildren.org

International Dyslexia Association

www.eida.org

Learning Ally (audio books)

www.learningally.org

Learning Disabilities Association of America

www.ldaamerica.org

Learning Disabilities Association of Minnesota

www.ldaminnesota.org

Linguisystems (Resources for Language Disorders and Autism)

www.linguisystems.com

Minnesota Association for Children’s Mental Health

www.macmh.org

Minnesota Autism Center

www.mnautism.org/

Minnesota Department of Education

education.state.mn.us

National Alliance on Mental Illness

www.nami.org

Pacer Center (MN Parent Training & Information Center, special education rights)

www.pacer.org

SCSU Community Options Program

stcloudisd742.mn.schoolwebpages.com

WorryWiseKids

www.worrywisekids.org/