Welcome to the MHealth 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
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: