Appointment Form

If this is your first appointment, please read the Your Visit page before using this form.

If you are a returning client, please fill in the form below. Choose the therapist that you'd like to see, or select "Soonest Available" if you'd like the first appointment opening. You may select a Preferred Date, but remember that your therapist may not have openings on that date.

When you have sent the form, our office will get back to you by phone or email with your appointment details.

Our Location

We are easy to find, and have a large, free parking lot. Located in the Roseville area, we are just south of the intersection of Hwy. 36 and Snelling Ave. See Map for directions and for more.

Take Highway 36 to the south Snelling Ave. exit; take Snelling south and proceed to County Road B West; turn right on County Road B West and proceed one block to the Roseridge office building parking lot entrance, at 1611 County Road B. Parking is free. The Minnesota Couple Therapy Center is on the second floor, Suite 204.

The Roseridge building is handicap accessible with elevators located mid building.