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Consents, Forms & Fine Print

HERE YOU WILL FIND ALL OF THE FORMS & INFORMATION TO REVIEW BEFORE YOU GET AN APPOINTMENT SET UP WITH US THRU  EITHER OUR FLATHEAD-KALISPELL BRANCH OR OUR CHINOOK BRANCH (NORTH CENTRAL CLIENTS FOLLOW THE LINK TOWARD THE BOTTOM OF THIS PAGE FOR YOUR FORMS).  PLEASE READ THRU OUR GLACIER NURSE + DIRECT POLICIES AND APPOINTMENT PROCESS SO YOU UNDERSTAND HOW WE WORK. AN INTAKE FORM & CONSENT PACKET ARE REQUIRED PRIOR TO RECEIVING ANY OF OUR SERVICES.  CALL US IF YOU HAVE QUESTIONS OR ARE UNABLE TO COMPLETE THE REQUIRED FORMS ONLINE.  WE ARE HAPPY TO HELP YOU COMPLETE THEM IN AN ALTERNATIVE METHOD IF NECESSARY. 

Intake Form
Nursing Services

*Required at start of nursing service. Complete & explain to us what type of care you need.

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Consent Packet
Nursing Services

*Required at start of nursing service.

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Consent Packet
IV Therapy

*Required prior to all infusion therapy.

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GND Policies/Appt Process

Read thru our policies & see how things are done. 

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Intake Form
IV & Injections 

*Required prior to all infusion therapy or injections.

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Consent Packet
Injections

*Required prior to all injection treatments.

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*North Central MT*
GND Clients

All clients in Blaine & Hill Counties please follow link below for all necessary intake forms & consents

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For Providers/Clinics

If you are a provider, clinical care coordinator, or other professional needing to communicate with us follow the link below to access appropriate forms.

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