{"id":24,"date":"2025-12-22T07:34:55","date_gmt":"2025-12-22T07:34:55","guid":{"rendered":"https:\/\/iconictek.org\/minnesotatherapy\/?page_id=24"},"modified":"2026-01-01T05:36:27","modified_gmt":"2026-01-01T05:36:27","slug":"intake-forms","status":"publish","type":"page","link":"https:\/\/iconictek.org\/minnesotatherapy\/intake-forms\/","title":{"rendered":"Intake Forms"},"content":{"rendered":"<p><div class=\"et_d4_element et_pb_section et_pb_section_0 et_pb_with_background  et_pb_css_mix_blend_mode et_section_regular section_has_divider et_pb_bottom_divider et_block_section\" >\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_d4_element et_pb_row et_pb_row_0  et_pb_css_mix_blend_mode et_block_row\">\n\t\t\t\t<div class=\"et_d4_element et_pb_column_4_4 et_pb_column et_pb_column_0  et_pb_css_mix_blend_mode et-last-child et_block_column\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_module et_d4_element et_pb_heading et_pb_heading_0 et_pb_bg_layout_\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_heading_container\"><h1 class=\"et_pb_module_heading\">Intake Form<\/h1><\/div>\n\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_bottom_inside_divider et-no-transition\"><\/div>\n\t\t\t<\/div><div class=\"et_d4_element et_pb_section et_pb_section_1  et_pb_css_mix_blend_mode et_section_regular et_block_section\" >\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_d4_element et_pb_row et_pb_row_1  et_pb_css_mix_blend_mode et_block_row\">\n\t\t\t\t<div class=\"et_d4_element et_pb_column_4_4 et_pb_column et_pb_column_1  et_pb_css_mix_blend_mode et-last-child et_block_column\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_module et_d4_element et_pb_heading et_pb_heading_1 et_pb_bg_layout_\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_heading_container\"><h2 class=\"et_pb_module_heading\">New Client Forms<\/h2><\/div>\n\t\t\t<\/div><div class=\"et_pb_module et_d4_element et_pb_text et_pb_text_0  et_pb_text_align_left et_pb_bg_layout_light\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_text_inner\"><p style=\"text-align: center;\">Please complete the appropriate intake form below. Some forms can be submitted online, while others are available as downloadable PDF files to be completed and returned as instructed. All information provided is kept confidential and used only to support your service request.<\/p><\/div>\n\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div><div class=\"et_d4_element et_pb_row et_pb_row_2  et_pb_css_mix_blend_mode et_block_row\">\n\t\t\t\t<div class=\"et_d4_element et_pb_column_4_4 et_pb_column et_pb_column_2  et_pb_css_mix_blend_mode et-last-child et_block_column\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_button_module_wrapper et_pb_button_0_wrapper et_pb_button_alignment_center et_pb_module \">\n\t\t\t\t<a class=\"et_pb_button et_d4_element et_pb_button_0 et_pb_bg_layout_light et_block_module\" href=\"https:\/\/iconictek.org\/minnesotatherapy\/wp-content\/uploads\/2026\/01\/Release-of-Information-MTC-2.pdf\">Release of Information<\/a>\n\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"<!-- wp:divi\/placeholder \/-->","_et_gb_content_width":"","footnotes":""},"class_list":["post-24","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/iconictek.org\/minnesotatherapy\/wp-json\/wp\/v2\/pages\/24","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/iconictek.org\/minnesotatherapy\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/iconictek.org\/minnesotatherapy\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/iconictek.org\/minnesotatherapy\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/iconictek.org\/minnesotatherapy\/wp-json\/wp\/v2\/comments?post=24"}],"version-history":[{"count":5,"href":"https:\/\/iconictek.org\/minnesotatherapy\/wp-json\/wp\/v2\/pages\/24\/revisions"}],"predecessor-version":[{"id":118,"href":"https:\/\/iconictek.org\/minnesotatherapy\/wp-json\/wp\/v2\/pages\/24\/revisions\/118"}],"wp:attachment":[{"href":"https:\/\/iconictek.org\/minnesotatherapy\/wp-json\/wp\/v2\/media?parent=24"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}