OUR PROCESS

FOR PROSPECTIVE PARTICIPANTS

To refer yourself or someone else to our program, complete our Referral Form. If additional assistance is needed, please call us at 701.751.5090 or email us at info@ndphp.org.

ENROLLMENT PROCESS

This is a general description of our enrollment process. For more specific information, contact us.

Person Filling Out Form
1

COMPLETE THE REFERRAL FORM

Complete the Referral Form to the best of your ability. If you’d rather not complete the online form, you can mail or fax a letter including all of the info. from the online referral form. If additional assistance is needed, please call us at 701.751.5090 or email us at info@ndphp.org.

Female Doctor Video Call
2

WE CALL FOR ADDITIONAL INFORMATION

We will call the referrer and the potential participant to gather information and discuss the situation.

Hand Filling Out Form
3

PAPERWORK

We will ask the potential participant to complete a demographics and intake form.

Man At Computer On Phone
4

DISCUSS NEXT STEPS

We will discuss next steps. For example, we may need medical records or may request a more formal assessment.

Checklist Pen
5

DETERMINE IF PROGRAM IS A FIT

A determination will be made about whether you would benefit from our services.

Doctor At Computer
6

CREATE INDIVIDUAL MONITORING AGREEMENT

We will create an individualized monitoring agreement that specifies the participant’s program timeline.

Up to 20% of Healthcare providers will be affected by a mental illness or substance use disorder during their lifetime.