Required Residential Intake Forms

Medical Necessities Prior to Intake

A list of current medications and standing orders are needed prior to intake to Residential.

Please see the forms below.

Medication Form

Standing Orders

Physical examination

Contact Info


1000 Paul Parkway NE, Blaine, MN, 55434


Phone: (763)757-2906

Fax: (763) 225-4651

Email: Business Office

Drug Education Contact Form