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Site last updated on:
 
March 06, 2017

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Our Children Succeed Initiative

Referral Information and Forms

  • Provider Referral Information (PDF)
  • Multi-Agency Consent Form (Word) Updated 6/19/08
  • Primary Referral Form (PDF)
  • Examples of Referrals (PDF)

 

Dr. Jodi Boerger Psy.D., LP

Early Childhood Supervisor/Consultant

NW Mental Health Center

P.O. Box 603, Crookston, MN 56716

(218) 281-3940, Fax (218) 281-6261

jboerger@nwmhc.org

 

Mahnomen, Norman and Red Lake Counties:

Kim Hemberger, M.S.

Early Childhood Specialist/Care Team Facilitator

NW Mental Health Center

603 Bruce St, P.O. Box 603

Crookston, MN 56716

(218) 289-3776, kthem@rrv.net

 

Marshall, Kittson and Polk Counties:

Heather Taylor, M.A.

Children's Mental Health Therapist/

Early Childhood Specialist

NW Mental Health Center

603 Bruce St, P.O. Box 603

Crookston, MN 56716

(218) 289-2632, htaylor@nwmhc.org

 

 

Our Children Succeed Initiative | P.O. Box 603 | Crookston, MN 56716 | (218) 281-0265 | Fax (218) 281-6261