Client Portal

If you would like to have access to Northland’s Client Portal for yourself or child(ren) please fill out the appropriate form below. Client portal will allow you to be able to fill out forms and check out when your next appointment is.

We are in a process of developing our Client Portal and continually working on features and updates to the Client Portal. 

Client portal sign up

Client Portal

Online Proxy Forms

If you are 18 and over and have a guardian or you are a minor or have a minor child under the age of 18, please choose the proxy form below to request access.

Minor Proxy Form Ages 0-11

This form does NOT require signature from minor.

Minor Proxy Form 12-17

This form requires signature from minor.

Adult Proxy form Ages 18+

This form requires a signature from both parties.

Print Proxy Forms

Minor Proxy Form Ages 0-11

Minor Proxy Form Ages 12-17

Minor Proxy Form Age 18+

Information

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