Christine Ubben, MA
Licensed Professional Counselor
Licensed Associate Marriage and
Family Therapist

Office cell: 
(952) 288-4091

Email:
christine@ubbencounseling.com

Office Location:
14051 Burnhaven Drive, Ste. 105, Burnsville
Near the Burnsville Mall

Moving to Apple Valley August 2010!

NEW CLIENT FORMS

If you are a first-time client or a returning client (1 year since last visit), please review the following:

Complete the 3 forms listed below and bring them with you to the first session (couples:  each partner completes the Client Info and Checklist forms and together signs the Acknowledgment form):

*Please review the 3 forms listed below before you sign the Acknowledgement form above.  These forms are not necessary to bring with you to your first session.

Note: To download Adobe Acrobat Reader for free, click here.


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