Northland is now offering you the flexibility to submit most of your forms online. Once you have completed your forms, an intake specialist will be contacting you.
You also can print the forms and mail them if your prefer (forms below). If you would like to print, fax or email the forms please contact us at 218-326-1274 or see below.
Online Intake packets can be found below:
- New Clients ages 18 and over intake packet
- Current Clients ages 18 and over intake packet
- Ages 11-17 intake packet
- Ages 0-10 intake packet
- If you are interested in signing up for portal please sign up here.
If you would like to print your intake forms and mail or fax them to Northland Counseling Center please fill out the following; please mail or fax to the location you will receiving services or email completed scanned paperwork to Grand Rapids Intake ATTN: INTAKE
Printable Intake packets can found below:
