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Surveys

We are using surveys to help us evaluate the outcomes of the grant. Please complete the following surveys only if Sue Redepenning or an AT consultant has requested that you do so. The surveys are hosted by SurveyMonkey and will open in a new window or tab after clicking on the title.

Participants

Please complete this survey immediately following a case consultation if you received a consultation or were present for a case consultation: AT Assessment Satisfaction Survey (v2.4).

Counties and Tribes

Please complete this survey if you are a county or tribe worker who referred an individual who is eligible for a case consultation: County / Tribe Intake Survey (v2.1).

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Referrals

To submit a referral, download the following form:
Download Referral Form (updated 04/07/2019)

Then upload it here:
Submit files securely

If you would like a copy of our HIPAA Statement for your records, you can get a copy here:
Download HIPAA Statement

Commissioner’s Circle of Excellence Award 2014
AT Consultant Schedule
November 22, 2019
  • Cold Spring- Stearns Co.
  • Fridley- Anoka Co.
November 23, 2019
  • Elk River- Sherburne Co.
November 25, 2019
  • St Cloud- Sherburne Co.
  • Red Wing- Goodhue Co.
  • Duluth- St Louis Co.
November 26, 2019
  • Duluth- St Louis Co.
  • Waseca- Waseca Co.
November 30, 2019
  • Minneapolis- Hennepin Co.
  • St Paul- Ramsey Co.
December 2, 2019
  • St Peter- Nicollet Co.
December 3, 2019
  • St Cloud- Sherburne Co.
  • Apple Valley- Dakota Co.
  • Coon Rapids- Anoka Co.
December 5, 2019
  • White Bear Lake- Ramsey Co.