New Brighton, MN
Copyright (c) 2007 North Central Ministry Development Center
These forms are on a secure site; all information submitted is confidential.
North Central Ministry Development Center
Copyright (c) 2005 North Central Ministry Development Center
Releases of Information:
Policy on Use of Client Data in Research
Limits of Confidentiality
Statement of Personal Conduct
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Welcome to our Center. Please carefully read this entire page before proceeding. If you are just beginning the process as a client, please fill out the first form on the list: "Registration for Individual Program". After that is submitted we will call you to schedule your program.
Medical History (Part B) - This needs to be completed by a physician