Patient Forms

Patient Forms

Adult, Child & Family Services, LLC

Get Started to Prepare for Your Appointment

At Adult, Child & Family Services, LLC, we believe that everyone deserves mental health support. If you're ready to start your journey, we'll be here for you. From group therapy to marriage counseling, our services are catered to your needs. If you want to streamline your appointment, consider filling out your paperwork in advance.


If you need to make an appointment, call us now! Our team has over 20 years of experience, and we offer same-day appointments and walk-in crisis services. Look at the forms below to access the ones you need for your upcoming appointment.

Submit Your Forms Online

Prep for your appointment online! Click on the buttons to access our online forms. Fill them out and submit them before your appointment. NOTICE: Each and every form will send you an E-mail asking you to "Confirm" the form. Please click confirm and we will have the forms ready for your session.

New Client Forms

New Child Intake Packet New Adult Intake Packet

Individual Forms

Financial Policy Client Bill of Rights Privacy Practices Release of Information

Referral for Services at ACFS

Click on the buttons below to access our online forms. Please email completed forms to kcooper@acfsmankato.org OR Fax to us at 507-344-1726.

Outpatient Therapy Referral ARMHS Referral CTSS Referral Release of Information
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