Offices in Roseville and Chanhassen, MN

(651) 964-0235

Counseling: A Guiding Light Through the Storms of Life

Client Forms

Please use the links below to download the appropriate forms so that they can be filled out ahead of your Initial Intake appointment.  

If your information has changed, please download and complete a new packet and bring it to your next appointment.

All individuals served at Lighthouse Counseling Services must fill out the appropriate packet from below:

  • Minor Intake Packet
  • Adult Intake Packet

Additionally, all clients will need to downloadand/or complete the following:

  • Clinic Information / Office Policy
  • Consent to Treatment
  • HIPPA Form
  • Payment Contract
  • Privacy Practices

This form may be necessary if you wish us to speak with other parties or professionals about your care:

  • Release of Information