"Remote" Authorization and  "Request for Services" forms

Due to Covid-19 virus issues going forward, we will still provide what services we are ABLE to.  These services will be mainly online and phone consultation services.  We DO ask that you complete this form, sign it and return it to us via mail, 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 this form, read it, sign it 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.

Please also complete this "request for services" form (like you would if visiting our center, personally).  Send BOTH of these forms to us via mail:  P.O. Box 759  Park Rapids, MN  56470   The first form explains a bit of the risk if you were to choose, instead, to email the forms to us.



Authorization form


for services


Should you choose to email your forms instead, please use:  clientdir@prcparkrapids.org

If you need to pick up the forms, schedule it with us.  We can arrange for you to pick them up, you can sign them and we can receive them so that you can start your consultations.  Whichever works for you!  Just know that we are merely limiting contact so as NOT to potentially spread the Covid-19 virus.  People HAVE it but just don't yet know it, thus the reason for limited movements outside of essential needs.