Patient Forms:

NDHSAA Preparticipation

​Physical Evaluation Form

Sliding Fee Scale Application 



​

Becoming a Patient

As a patient of Northland Health Centers, we live by our motto “Our Family Caring For Your Family”. Each of us at Northland Health Centers is pleased to have the opportunity to provide you and your family with high quality healthcare. Whether you need a routine physical exam, prenatal care, immunizations, help managing your diabetes, depression, hypertension or urgent care, you can trust to us provide high quality healthcare. We are committed to your health and the health of the communities we serve! Before you are seen by one of our providers, we will need some basic information. We will need your current legal photo ID, your health insurance, Medicaid, and/or Medicare card, and for you to complete a medical history form.

We can even provide services to you if you do not have insurance! We encourage all patients, regardless of their insurance or financial status, to apply for discounted healthcare services. The application process is simple and takes no more than a few minutes to complete. Our Sliding Fee Application is used to determine if you and/or your family qualify based on your family size and income. Team members at any of our clinic sites can explain the details of applying for our sliding fee programs or you can contact our Eligibility Coordinator at 701-448-2054. You must provide proof of income when applying for discounted services.

Team members at any of our clinics are happy to help you make a medical appointment. You will be asked to provide your name, address, phone number, Date of Birth (DOB) and insurance information.

Please arrive 15 minutes prior to scheduled appointment time to complete required paperwork. Please bring your current legal photo ID and current insurance card.

Location

What patients have to say about Northland Health Centers!

Brent went into NHC for a regular checkup. His routine test results came back slightly elevated. He felt healthy and had no concerning symptoms, so he didn’t think anything of it. Despite this, his NHC Provider encouraged him to repeat the test. When the results came back slightly more elevated, our Provider scheduled Brent to have further testing done to rule out any issues. He then was scheduled to have a biopsy, and it was discovered that Brent had prostate cancer. Brent endured 5 days a week of radiation for 9 weeks. Brent is cancer free today and he credits NHC for saving his life. He is immensely grateful for the affordable cost of his services, and even more so to the Providers and staff at NHC. “I only have positive remarks to say about Northland Health Centers,” Brent says. “They’ve led me in the right direction.” Going forward, Brent plans to continue his care at NHC and trusts that we will continue to make a positive impact for him, his family, and his community.
​

Contact Us

    Subscribe Today!