Thank you for choosing Northland Counseling Center, Inc! Please complete the form below as part of our intake process or for your annual update. Any missing information may cause a delay in services. Along with the below form, please be sure to submit the following forms: Adult Pre-intake Questionnaire, Adult Registration Form, Provider Supervision Form and if you Medicare for your insurance please complete the Medicare Notice.
Please complete the forms below and if you would like to learn more the Adverse Childhood Experience Questionnaire click here.