Client Forms

All of Hiawatha Valley Mental Health Center service sites are barrier free, culturally responsive and meet standards for physical accessibility.  Working service animal are welcome at all Hiawatha Valley Mental Health Center direct and contract service sites.  If you need additional physical changes to help make your individual services more usable for you, bring this up at your initial intake appointment, or talk to your Hiawatha Valley Mental Health Center provider.  We will work with you to accommodate your needs in an effective and reasonable way.  If you need an accommodation and you feel that we have failed to provide it for you, you may contact the Ombudsman or the Office of Recipient Rights for assistance at 651-757-1800.

If you or a family member needs an American Sign Language (ASL) interpreter, or if you use a language other than English and you would like to receive your services in your native language, you have the right to an independent interpreter to help you use mental health or substance abuse services.  You may also request translation of written materials.  If you would like an ASL or alternative language interpreter, tell the intake staff, or your provider.  If you need an interpreter one will be provided at no charge to you.  We are a proud partner of Project Fine and they can be contacted for native language interpretation services at 507-452-4100.

The Minnesota DHHS (Deaf and Hard of Hearing Service Division) is also available to assist callers with hearing or speech difficulties.  The division is available 24 hours, 7 days a week and will help you contact any office, business or residence.  To reach the Minnesota Resources DHHS, call 1-800-456-7589.

A Psychiatric Advance Directive is a legal document that details a person’s preference for future mental health treatment, services, and supports, or names an individual to make treatment decisions, if the person is in a crisis and unable to make decisions.  A Psychiatric Advance Directive is unique because it addresses specific concerns related to mental health care and treatment.  This document can help an individual with mental illness preserve their autonomy while ensuring their preferred care.   By sharing this document with providers, it allows for an individual’s care wishes to be clear and prioritized. It also allows for family and friends to be better advocates for that individual.

If you would like further information on Psychiatric Advanced Directives, please click here

Hiawatha Valley Mental Health Center is committed to providing quality care.  If a client and/or authorized representative wishes to file a grievance, please fill out our Grievance Form. Click here to review Hiawatha Valley Mental Health Center’s Grievance Procedure.

Hiawatha Valley Mental Health Center has a sliding fee scale based on poverty guidelines and applicable to individuals falling below 275% of poverty.