Nutritionist - Nutritional Counseling | Burnsville MN

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Nutritionist – Nutritional Counseling | Burnsville MN | Cashman Center

Client Downloads

Note: To ensure confidentiality, please print forms. Fill out and bring your completed form to your first visit. Due to HIPAA policies, we are not able to receive forms electronically.

New Client Handbook

2024 Adult Registration Packet for New Clients

2024 Adult Registration Packet for New Clients- Spanish

2024 Adult Update for Existing Clients

2024 Adult Update for Existing Clients – Spanish

Minor Registration Packet for New Clients

2024 Minor Update for Existing Clients

Other Client Downloads

Psychological Testing Forms

Release of Information Form

Telemedicine Consent Form

FAQ for Obtaining Insurance Benefits

Psychological Assessment Billing Balance Agreement

Psychological Assessment Billing Balance Agreement (Part 2)

Locations

Burnsville

2970 Judicial Road
Ste 100
Burnsville, MN 55337

Phone: 952-224-8990 | Fax: 952-224-8991

Eden Prairie

7525 Mitchell Road
Suite 310
Eden Prairie, MN 55344

Phone: 952-224-8990 | Fax: 952-224-8991

Faribault

(Inside Northfield Hospital Faribault Clinic)
1980 30th St NW
Faribault, MN 55021

Phone: 952-224-8990 | Fax: 952-224-8991

Northfield

(Inside of Free Range Mental Health Clinic)
103 3rd St W
Northfield, MN 55057

Phone: 952-224-8990 | Fax: 952-224-8991

Recent Posts

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Relationship Abuse – Warning Signs, Escape and Treatment

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