New Clients
Welcome!
Welcome to the M Health Fairview Sexual and Gender Health Clinic! For more information on how to schedule an appointment, please call our front desk at 612-625-1500.
Once you are registered for your appointment, you will be given instructions for completing new patient paperwork. We look forward to meeting with you and working together.
Adult Therapy Intake Forms
Fill out and return to clinic:
Read:
Fill out, only as needed:
Child/Adolescent Therapy Intake Forms
Caregivers: fill out and return to clinic:
- General consent
- Consent for treatment of minors
- Comprehensive Therapy Intake Form for Parents of Child/Adolescent
- Childhood Gender Identity and Experience
- Strengths and Difficulties Questionaire (Ages 4-10)
- Strengths and Difficulties Questionnaire (Ages 11-17)
Adolescents 11 years old and older: fill out and return to clinic:
Read:
Psychiatry Intake Forms
What to Expect
Intake
To best meet your needs as a new patient, our intake coordinator will conduct an individualized assessment.
First appointment
During your first appointment, you will meet with a therapist for 50 minutes for a diagnostic assessment. The assessment will outline a recommendation for future appointments.
Payment
- Payment is due at the time of service. We accept cash, check, money order, Visa, Master Card, American Express, and Discover.
- We accept most major health plans and will file your claim for you.
- Your benefits for mental health services may vary from your medical benefits, and benefits vary by insurance company. Contact your insurance carrier to find out about your mental health benefits.
- After your insurance company has processed its portion of the bill, you will be responsible for the remaining balance which may include out-of-network charges.
- Learn more about payment options