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
- Release of Information – agencies & Providers
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