You may download and complete Canvas Health’s Release of Information below. Please print the completed form and bring it with you to your appointment.  To open and print our forms, you must have a PDF viewer installed. Download Adobe Reader free of charge.

Release of Information Form

Adult Day Treatment/Group Therapy Referral Form

Early Childhood Behavior Assistance Referral Form

Psychological Services Request for Assessment Form

Customer Satisfaction Surveys

Children’s Case Management Referral Form

Adult/Child Mental Health and Substance Use – Spanish Forms

Declaración de derechos del paciente de Minnesota (salud mental)

Formulario de acuse de recibo del paciente

Comunicación para los recordatorios de citas

Consentimiento informado para tratamiento