Sagent Behavioral Health
  • Patient Portal
  • Make a Referral
  • Search
  • 866.938.4159
  • Providers
  • Locations
    • Iowa
    • Minnesota
    • Missouri
    • North Dakota
    • Wisconsin
  • Services
    • Therapy
    • Psychiatry
    • Substance Use Treatment
    • Psychological Testing
    • Dialectical Behavior Therapy (DBT)
    • Telehealth
    • View All Services
  • Specialties
    • ADHD
    • Anger Issues
    • Anxiety
    • Autism
    • Bipolar Disorder
    • Depression
    • Insomnia
    • LGBTQIA+ Affirming
    • Stress Management
    • Substance Use
    • Suicidal Thoughts
    • Work Issues
    • View All Specialties
  • Referral Partners
    • Make A Referral
    • Psychological Testing Referral
    • Referral Forms
  • Resources
    • About Us
    • Blog
    • Clinic Contact Form
    • Everyday Therapy Podcast
    • Medical Records
    • Newsroom
    • Patient Forms
    • Pay My Bill
    • Self-Help Tips
    • Telehealth Tips
    • Upload A Document
  • Employment
    • Careers
    • Internships
    • Clinical Continuing Education
    • Employee Links
  • Request an Appointment
  • Providers
  • Locations
    • Iowa
    • Minnesota
    • Missouri
    • North Dakota
    • Wisconsin
  • Services
    • Therapy
    • Psychiatry
    • Substance Use Treatment
    • Psychological Testing
    • Dialectical Behavior Therapy (DBT)
    • Telehealth
    • View All Services
  • Specialties
    • ADHD
    • Anger Issues
    • Anxiety
    • Autism
    • Bipolar Disorder
    • Depression
    • Insomnia
    • LGBTQIA+ Affirming
    • Stress Management
    • Substance Use
    • Suicidal Thoughts
    • Work Issues
    • View All Specialties
  • Referral Partners
    • Make A Referral
    • Psychological Testing Referral
    • Referral Forms
  • Resources
    • About Us
    • Blog
    • Clinic Contact Form
    • Everyday Therapy Podcast
    • Medical Records
    • Newsroom
    • Patient Forms
    • Pay My Bill
    • Self-Help Tips
    • Telehealth Tips
    • Upload A Document
  • Employment
    • Careers
    • Internships
    • Clinical Continuing Education
    • Employee Links
  • Request an Appointment
  • Patient Portal
  • Make a Referral
  • Search
  • 866.938.4159

Additional Patient Forms (Ellie)

Insightmarketing2025-12-17T09:28:58-06:00

Additional Patient Forms

If you’re having problems accessing any forms, please hit the CTRL + F5 keys on your keyboard.
If you have further questions, please call your clinic.

  • Client Intake Forms
  • Consent & Release Forms
  • Assessments
  • Grievance Form
  • Formularios en ESPANOL

Client Intake Forms

  • Therapy Adult Intake Form
  • Therapy Minor Intake Form
  • Client Bill of Rights
  • Client Responsibilities
  • Couples Therapy Intake Form
  • Safe Harbor Agreement
  • Med Mgmt Adult Intake Form
  • Med Mgmt Minor Intake Form

Consent & Release Forms

  • Client Informed Consent
  • Testing Consent Agreement
  • Minor Letter of Acknowledgement
  • Minor Group Therapy Consent Form
  • Adult Group Therapy Consent Form
  • Release of Information
  • Release of Information Revocation
  • Record Amendment Form
  • Relational Focused Therapy Collaborative Agreement

Assessments

  • CES-DC Form
  • PHQ-9
  • GAD-7
  • CAGE-AID
  • WHODAS
  • SCARED Form

Grievance Form

  • Grievance Form

Formularios en ESPANOL

  • Formulario de Pólizas y Consentimiento Informado
  • Formulario de Consentimiento de Divulgación de Información
  • Acuerdo de “Puerto Seguro”
  • Revocation de la divulgación de información
  • Formulario e Historial del Cliente (para adultos 18+ anos)
  • Formulario e Historial del Cliente (para niños, 0-18 anos)
  • GAD-7
  • PHQ-9
  • WHODAS
Sagent Behavioral Health Logo

866.938.4159

Main Office: 1900 Silver Lake Rd.
New Brighton, MN 55112

Verify Approval for www.sagentbh.com
Quick Links
  • Find a Location
  • Providers
  • Services
  • Medical Records
  • Notice of Privacy Practices
Company
  • About Us
  • Employment
  • Internships
  • Employee Login

© 2026 Sagent Behavioral Health. All Rights Reserved. Privacy Policy | Accessibility Policy.

We Value Your Privacy

We use cookies and similar technologies to help our site work, understand site traffic, and improve your experience. By clicking Accept, you agree to this use as described in our Privacy Policy.

Functional Always active
The technical storage or access is strictly necessary for the legitimate purpose of enabling the use of a specific service explicitly requested by the subscriber or user, or for the sole purpose of carrying out the transmission of a communication over an electronic communications network.
Preferences
The technical storage or access is necessary for the legitimate purpose of storing preferences that are not requested by the subscriber or user.
Statistics
The technical storage or access that is used exclusively for statistical purposes. The technical storage or access that is used exclusively for anonymous statistical purposes. Without a subpoena, voluntary compliance on the part of your Internet Service Provider, or additional records from a third party, information stored or retrieved for this purpose alone cannot usually be used to identify you.
Marketing
The technical storage or access is required to create user profiles to send advertising, or to track the user on a website or across several websites for similar marketing purposes.
  • Manage options
  • Manage services
  • Manage {vendor_count} vendors
  • Read more about these purposes
View preferences
  • {title}
  • {title}
  • {title}