If you have an upcoming initial appointment with one of our clinicians, please use the appropriate link to print forms that you should complete and bring with you to your first appointment.

If you have questions about completing the forms, please contact us at 218-722-2005.

New Client Forms

Cost of Services
Child Intake Form (Clients under 18 years old)
Adult Intake Form (Clients 18 years and older)


Release of Information
Please use this Release of Information to:

  • Authorize DPC to request your records form another entity
  • Authorize DPC to release your records to another entity
  • Request your own records from DPC

Authorization for Release of Information (All Clients)


Good Faith Estimate for Services
Good Faith Estimate for Services


For more information about our services, mission, and staff, please page through this website or call 218-722-2005.