DANIEL R SULLIVAN
  • Home
  • About Me
  • Therapy - What's It All About?
    • Individual
    • Relationships >
      • Couple
      • Polyamorous
    • Pre-Marital
    • Group
    • Sex, Intimacy, and Kink
  • Blog
  • Forms
  • Contact
  • Forms
Please download the forms below and fill them out prior to your first appointment. You may either email them to me at drscounseling@gmail.com or bring them with you to the appointment.
personal_disclosure_statment_2020.docx
File Size: 29 kb
File Type: docx
Download File

daniel_release_of_information_pre-marital_session.docx
File Size: 16 kb
File Type: docx
Download File

intake_form_daniel_sullivan_2020.docx
File Size: 19 kb
File Type: docx
Download File

daniel_release_of_information_with_diagnostic_information_cg.docx
File Size: 17 kb
File Type: docx
Download File

minnesota-hipaa-authorization-form_2019.pdf
File Size: 333 kb
File Type: pdf
Download File

email_release_daniel_sullivan_2020.docx
File Size: 19 kb
File Type: docx
Download File

    Take the Next Step

    ​If after reading through the information provided you feel that counseling may be beneficial to you, please reach out. I will contact you within 24 hours at which time we can do a brief 10-15 minute phone consultation, discuss your needs and I can provide you with the information you will need to take the next step.
Submit

Address:
​515 East Grant Street #712
Minneapolis, MN 55404
CONTACT ME AT
218-994-1599
drscounseling@gmail.com
© 2019 Daniel R Sullivan MA LPC, NCC
Website created and designed by Ada Hui. Photos taken by Jagger Rose Photography.
  • Home
  • About Me
  • Therapy - What's It All About?
    • Individual
    • Relationships >
      • Couple
      • Polyamorous
    • Pre-Marital
    • Group
    • Sex, Intimacy, and Kink
  • Blog
  • Forms
  • Contact
  • Forms