Ballard Clinic | Contact & Location

Schedule an Appointment

New/Interested Clients: If you would like more information or to schedule a first-time appointment, please complete the form below or call 612‐787-2344 and press 1.
Existing Clients: To schedule or change an appointment, please reach out to your therapist directly or call 612-787-2344 and press 2.

As you compose your message, please keep in mind that this form is not for emergency use and that electronically delivered messages are not guaranteed confidential.

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Name *

First

Last

Phone Number *

Email *

Address (Street, City, State, Zip) *

Client's Date of Birth *

Client's Gender *

Concerns/Struggles *

Insurance Coverage *

BCBS (in-network) PreferredOne (in-network) Aetna (in-network) Other (out-of-network)

Preferred Location *

Edina Wayzata Either

Referral Source *

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Schedule an appointment at ballard clinic

Schedule Appointment

EDINA ADDRESS
5200 Willson Road,
Suites 215 & 445
Edina, MN 55424

WAYZATA ADDRESS
1907 Wayzata Boulevard,
Suite 100
Wayzata, MN 55391

TELEPHONE
612-787-2344

FAX
952-426-3250

EMAIL
admin@ballardclinic.com

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