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Make a Referral​|North Country Counseling

We partner with primary care clinics, hospitals, schools, county social services, and community providers across Minnesota to deliver accessible, outpatient mental health care.​  Use this page to submit a client referral, send required documentation, and review our intake requirements.

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How to Submit a Referral

  1. Complete the Online Referral Intake Form:  Submit the client's demographic and contact information directly through our Referral Intake Form.

  2. Send the Release of Information (ROI) & Clinical Records

    To coordinate care smoothly, please send a signed Release of Information along with recent diagnostic assessments or relevant clinical summaries via:

  3. Insurance Verification & Intake Scheduling

    Once received, our administrative team immediately begins processing the referral, checking benefits, and coordinating intake scheduling with the client or guardian.

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Referral Intake & Insurance Policy

  • Coverage Verification: All client insurance policies must be confirmed active prior to scheduling an initial intake assessment.

  • Inactive Coverage: If coverage is inactive or pending, intake scheduling will pause until active benefits are confirmed or self-pay arrangements are established.

  • Coordination of Care: We maintain communication with your agency to confirm referral receipt, coordinate appointments, and support continuity of care if requested by a member of your team.

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Who We Serve & Service Scope

  • Client Demographics: Children ages 6+, adolescents, adults, couples, families and professionals

  • Service Formats: In-person outpatient therapy in Glenwood, MN, Morris, MN and Duluth, MN and statewide via secure Telehealth in MN, SD, CO & WI.

  • Accepted Coverage: Commercial insurance plans, Minnesota Health Care Programs (Medical Assistance / PMAP), and private pay options.

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Referral Support & Direct Contacts

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Frequently Asked Questions for Referral Sources

How quickly are referrals contacted when referred to North Country Counseling?

Our intake department reviews incoming referrals within 1–2 business days of receiving the intake form and active insurance verification.

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What records are required for a complete referral packet?

A completed referral intake form, a signed Release of Information (ROI), a copy of the front and back of the client's insurance card, and any recent diagnostic assessments or IEP/treatment plans if applicable.

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Can providers track the status of a referred client?

Yes. With an active Release of Information on file, our team will confirm receipt of the referral and update your office once the intake appointment is scheduled.

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Mailing & Main Office:

105 2nd Avenue NE

Suite 110

Glenwood, MN 56334

 

320.428.0744

(FAX) 320.438.2829

hello@northcountrycounseling.net

Organization NPI: 1982115390

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© 2026 North Country Counseling
 

Medical Disclaimer: The information on this website is for general information purposes only. Nothing on this site should be taken as healthcare advice for any individual case or situation. This information is not intended to create, and receipt or viewing does not constitute, a healthcare professional-patient relationship. We do our best to keep information accurate and up to date, however mistakes do happen, and we cannot make guarantees regarding the accuracy of our information. We are not liable for any information on this website or your reliance upon it.

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