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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 01/28/2019)

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
February 25, 2019
  • Lakeville - Dakota Co.
  • Woodbury- Washington Co.
  • Circle Pines- Anoka Co.
  • Montgomery - LeSueur Co.
February 26, 2019
  • Wabasha- Wabasha Co.
February 27, 2019
  • White Bear Lake- Ramsey Co.
February 28, 2019
  • Shafer - Chisago Co.
  • Wyoming- Chisago Co.
March 1, 2019
  • Blaine- Anoka Co.
March 2, 2019
  • St. Paul - Ramsey Co.
  • Blaine - Anoka Co.
March 4, 2019
  • Plymouth - Hennepin Co.
  • Apple Valley- Dakota Co.
  • Maplewood & St Paul- Ramsey Co.
March 5, 2019
  • South St Paul- Dakota Co.
March 8, 2019
  • North Mankato- Nicollet Co.
  • Eden Prairie- Hennepin Co.