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Roots Wellness
Center
(612) 289-5656
info@rwc-mn.com
393 N Dunlap St, Ste #300, St Paul
Make a Referral

Forms & Documents

RWC Outpatient Treatment
Mental Health
Other Forms

RWC Outpatient Treatment

RWC Intake Form
Notice of Privacy Practices
Client Weekly Update
Housing Stipend Request
Daily Depression Survey
Resources
Sober Housing Resources

Mental Health

Mental Health Intake Form / Formulario de admisión de salud mental
Mental Health Screening
Parent SDQ / Cuestionario de capacidades y dificultades 4-17
Self SDQ / Cuestionario de capcidades y dificultades 11-17
Annual Consent Forms

Other Forms

Release of Information / Divulgación de información
UCare ARMHS Provider Form

Minnesota CarePartner/Roots Recovery is now Roots Wellness Center

Learn more