Online Forms to Save You Time
Western Mental Health Center — or a specific therapist or mental health professional — will often ask that you complete certain forms prior to your appointment. They may be needed for insurance purposes, privacy, or to help us better address your mental health or therapy needs. We’ve provided several forms online to save our therapy clients time in the office. All forms are located below, and are completed and submitted electronically.
Please note, filling out these forms does not make you a client of Western Mental Health Center, you must call to set up an appointment at 507-532-3236 or 800-658-2429.
Adult Client (18+) - Forms to be filled out prior to Appointment.
Child Client (1-17) - Forms to be filled out prior to Appointment.
Annual Paperwork
Other Online Forms
- Release of Information – Additional Facilities
- Release of Information – Care Staff
- Release of Information – County
- Release of Information – County Insurance
- Release of Information – Hospital
- Release of Information – Legal
- Release of Information – MN DHS
- Release of Information – Primary Care Clinic
- Release of Information – School
- Non-Parent/Guardian to Accompany Patient