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.
- Adult Pre-Intake Questionnaire
- Adult Registration Form
- Provider Supervision Form
- Medicare ONLY – Medicare Notice
Please complete the forms below and if you would like to learn more the Adverse Childhood Experience Questionnaire click here.