Evaluation Intake

For more information on accepted insurance providers and payment methods, Click Here

Scheduling an Evaluation:

  1. 1. Contact our Intake Coordinator at 952-215-3753 or email  intake@hollandcenter.com
  2. 2. Download and complete the assessment intake packet and consent for testing.
  3. 3. Submit completed documents to our Intake Coordinator.
  4. 4. Our Intake Coordinator will contact you to schedule an evaluation date. 

The clinic has a 48 hour cancellation policy in which you must notify the clinic no less than 48 business hours prior to your scheduled evaluation should you need to cancel. 

Download and Submit the Forms Below

Consent and Agreement for Psychological Testing and Evaluation

Intake Packet 

For more information about the evaluation/assessment process, please contact Dr. Nicole Smith at 952-215-3759  

For more information about fees, wait times, or any other scheduling questions, please contact our Intake Coordinator at 952-215-3753 or intake@hollandcenter.com

Holland Center
10273 Yellow Circle Dr.
Minnetonka, MN 55343

Holland Center on Facebook