Thank you for choosing Northland Counseling Center, Inc! Please complete the below forms as part of our intake process or for your annual update. Any missing information may cause a delay in services. Along with this form please ensure you are also filling out these additional forms:
- Adult Registration Form
- Adult Mental Health Screeners
- Provider Supervision Form
- Medicare Beneficiary Notice– If you have Medicare as an insurance plan, please review
if the page is blue, scroll to the bottom and click on desktop version. otherwise, the page will not submit.