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Thank you for choosing Northland Counseling Center, Inc! 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
- Provider Supervision Form
- Medicare Beneficiary Notice– If you have Medicare as an insurance plan, please review
If you are in need of immediate assistance please contact our H.O.P.E. team at 218-256-2659! Or dial 988 for your local Mental health Emergency Team!
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