New Client Intake Forms

Since Covid-19 virus issues have caused us (at times) to limit our ability to have in-person meetings, we will still provide what services we are ABLE to.  In order for us to offer services to you, we ask that you complete the intake forms, sign them and return them to us via mail (or email), authorizing the PRC and your Client Services Director to speak confidentially with you via phone or internet.  We are striving to be "here for you" when you find yourself facing life decisions even as Covid-19 challenges exist.  You and your baby are important to us!  Download the PDF packet and return it to us, and our CSD will contact you at the phone number (or email address) you provide.  From there, you and your CSD will coordinate your services and schedule.

These are the same forms you'd sign if you visited us at the center.  Please mail the forms to us at:

P.O. Box 759  Park Rapids, MN  56470  

If you wish, you can scan the forms into a PDF document and email them to us at:

New Client Intake Forms PDF