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Members of the Public should utilize this form to request data
This form is used to submit Citizen Input to the County Board.
This form is used to apply for positions on Itasca County Committees/Commissions/Boards.
Public health intake form.
Medical provider only completes this reimbursement form.
a location for people to send questions about mandated reporting
Online form to submit referrals for adult mental health case management services.
Online form to submit referrals for children's mental health case management services.
Please fill out an application for an appointment with the Itasca County Health and Human Services Advisory Committee.
Online application for case managers to request respite
Online form for reporting suspected child abuse/ neglect form
online referral form for the Parent Support Outreach Program
Wellness and Prevention Individual Health Appraisal Survey
Access the request for restitution and affidavit form.
Access the Adult Mental Health Referral form.