The forms below are available for you to follow along while our staff complete the form.

Form Letter for Birth to 5 program

Intake Screen Ages 4-10

Intake Screen Ages 11-17

Intake Screen Adult

Ages and Stages Questionaire

These Forms are in PDF format you will need Adobe Reader to view them


You can get Adobe Reader Here

Northern Pines Mission


Northern Pines is an integrated system of services committed to individuals, families and communities. We are dedicated to providing appropriate clinical mental health care along with preventative, educational and supportive programs throughout Central Minnesota.