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ELECTRONIC FORM
Electronic Forms
This page contains links to forms that can be completed electronically on your computer or mobile device. The forms list is divided into two sections:
1. Forms that can be completed at any time.
2. Forms that should only be completed when you’re instructed by staff
Electronic Forms for Mental Health Services
The following forms can be completed/used at any time
Telemedicine Consent Form
Electronic Referral Form
Release of Information
Forms should only be completed when requested by MNCP staff
Service/Treatment Plan Signature Page
UCare ARMHS Provider Form
Electronic Intake Forms
Electronic Forms for Roots Recovery SUD Services
The following forms can be completed/used at any time
Telemedicine Consent Form
Electronic Referral Form
Release of Information
Forms should only be completed when requested by MNCP staff
Treatment Plan Acknowledgement
Intake & Billing Consent Forms
Paper/PDF Forms for Download
If you have barriers to using the electronic documents, or just find paper/pen more convenient, we offer PDF and Word Doc versions of our Intake Formset here:
Mental Health Intake Formset – PDF
Mental Health Intake Formset – Word Doc