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Health & Human Services

  1. Adult Health Intake

    Public health intake form.

  2. Application for Children's Mental Health Respite Grant

    Access the Application for children's mental health respite grant.

  3. Itasca County Rule 79 Child Mental Health Referral

    Access the Children's Mental Health Intake form.

  1. Application for Appointment

    Please fill out an application for an appointment with the Itasca County Health and Human Services Advisory Committee.

  2. Health Care Transportation Reimbursement Form

    Medical provider only completes this reimbursement form.

  3. Medicare Redetermination Request Form