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Documents

Intake Documents

Client Handbook

Adult Intake Form

Child/Adolescent Intake Form

Insurance Registration Form

Telehealth Consent Form

Additional Forms

Release of Information

HIPAA Policies and Procedures

Access to Health Records Notice of Rights

Client Bill of Rights

Website Terms of Use

INFORMATION

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OFFICE HOURS

LOCATION

Monday-Thursday
9am-6pm

4660 Slater Road

Suite 235B

Eagan, MN 55122

CONTACT

© 2023 by Holm Psychological Services, LLC

The information on this website is for general information purposes only. Nothing on this site should be taken as healthcare advice for any individual case or situation. This Website and the services provided by Holm Psychological Services LLC DO NOT necessarily create a doctor-patient or therapist-patient relationship. Information provided on this Website DOES NOT create a doctor-patient relationship between you and Holm Psychological Services LLC or its practitioners.  We do our best to keep information accurate and up to date, however mistakes do happen, and we cannot make guarantees regarding the accuracy of our information. We are not liable for any information on this website or your reliance upon it.

Holm Psychological Services LLC does not offer crisis counseling or emergency services. Please STOP and call 911 or go to your nearest emergency room if you are experiencing a medical or mental health emergency. If you are contemplating suicide or think that you are a danger to yourself or others, please STOP and call 911 or go to your nearest emergency room. If you are in crisis, call the National Suicide Prevention Hotline at 1-800-273-8255 or contact the Crisis Text Line by texting HOME to 741741.

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