Client Intake Forms
Save time and complete intake forms on your own time before your first visit. In the intake forms below, you will be given the option to complete a follow-up questionnaire in the office or through an emailed link. If you choose to complete the questionnaire in the office, an intake specialist will call you at the phone number provided to schedule a time. If you choose to complete the questionnaire online, please specify an email address in the intake form to receive a link to the online questionnaire.
Intake forms can be completed by one of two options:
Option 1: Download, Print, and Fill Out by Hand
Once completed, fax to 218-327-0456 or 218-302-1457 or email to nadinei@lakeviewbh.com.
Download Intake Form (PDF)
Download Release of Information Form (PDF)
Option 2: Complete and Submit Online
Access Intake Form (new page will load)
Download Release of Information Form (PDF) <– or this can be removed and replaced with a ROI built into the form itself