New Client Child Forms:

Please complete, and bring the following forms to your first visit or fax them to us. Fill out an Release of Information (ROI) for your child's insurance provider, emergency contact, primary physician, psychiatrist, school, and any other therapy providers. Thank you, NCE Wellness LLC

FAX to 651-925-0441

New Client Adult Forms:

Please complete the following forms and bring them to your first visit. Complete a relase of information(ROI) for you doctor, psychiatrist, insurance provider and any other therapy providers. Thank you! NCE Wellness LLC

We are located at: 

NCE Wellness

4151 Thomas Avenue N

Minneapolis, MN 55412


The Yoga Room 

4153 Thomas Avenue N Minneapolis MN


Phone 612-310-8683

Fax 651-925-0441

E-mail is not a secure, confidential form of communication. Please keep this in mind when deciding whether to send personal health information.