Start your Journey!

Intake Process

Intake & Connection

We’ll connect with you, learn about your child’s needs, and guide you through every step of the journey.

Personalized Plan

Together, we’ll design a personalized therapy plan that highlights your child’s unique strengths and goals.

Begin Services

Therapy starts! We provide continuous support and keep you updated every step of the way.

Get in Connect

Follow Our Social Media

Online Intake Form

Referrer information

Your First Name

Your Last Name

Organization / Clinic Name:

Relationship to the Child

Phone

Parent/Guardian Contact Info

Parent/Guardian Full Name

Parent First Name

Parent Last Name

Parent Phone Number

Parent Email

Client Information

Client First Name

Client Last Name

Client Date of Birth

Client Insurance provider

Client PMI:

Diagnostic reports, CMDE, IEP, ITP, or well-child visit summary (if available)

Disclaimer

We take reasonable steps to protect the information you share through this form. However, we cannot guarantee that data sent over the internet will not be intercepted. By submitting this form, you understand these risks and agree that Abbot Advocates is not responsible for any information compromised during transmission. For your protection, we recommend using secure, up-to-date security software.

Text Message Terms & Conditions

By clicking "Submit Form," I consent to receive non-promotional text messages from Abbot Advocates regarding services, appointment reminders, and updates related to my inquiry. Message frequency may vary. Message and data rates may apply. Reply STOP to unsubscribe or HELP for more information. View our Privacy Policy to learn how your data is used.

Contact Us

Get in Touch

Whether you’re ready to get started or simply have a question, we’re here to help. Reach out today and let’s talk about how we can manage your property with professionalism and care.

Our Play Zone

6979 Washington Ave S Minneapolis, MN 55439

Email Us

info@abbotadvocates.org

Call Us

Phone : 612-488-2477
Fax : 612-488-2477

Office Hour

Monday – Friday, 8:00 AM – 5:00 PM