Assessment and Therapy Associates of Grand Forks, PLLC
3535 South 31 St., Suite 201 Grand Forks, North Dakota 58201
(701) 780-6821 (phone) | (701) 780-1973 (fax)
www.grandforkstherapy.com | info@grandforkstherapy.com
We are excited to work with you!
Please complete this paperwork to the best of your ability at least 24 hours prior to your appointment, so your licensed mental health professional can review it before they meet with you.
If you are not comfortable filling out this paperwork online using this HIPAA-secure, encrypted format, please contact our office at (701) 780-6821 to receive it in a different format (e.g., paper version, fillable PDF).
Note: Responses to this paperwork are not monitored in real-time. If you need urgent help, please use one of these 24/7 crisis hotline numbers:
- National Suicide Prevention Hotline: 1-800-273-8255
- The Crisis Text Hotline: Text HOME to 741-741
- Northeast Human Service Center (Grand Forks county): 701-775-0525
For additional crisis resources in North Dakota, visit North Dakota Behavioral Health & Human Services.
For additional crisis resources in Minnesota, visit Minnesota Mental Health Crisis Line Numbers.