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Health & Human Services

  1. Adult Health Intake

    Public health intake form.

  2. Health Care Transportation Reimbursement Form

    Medical provider only completes this reimbursement form.

  3. Online: Child Protection Suspected Child Abuse/ Neglect Reporting Form

    Online form for reporting suspected child abuse/ neglect form

  1. Application for Appointment

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

  2. Medicare Redetermination Request Form