Please complete the below form as part of our intake process or for our 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 Pre-Intake Questionnaire
- Adult Mental Health Screeners
- Provider Supervision Form
- Release of Information – Agencies & Providers
If you have Medicare as an insurance plan please review and fill out, if you have questions please call 218-326-1274 and ask to speak to intake.