For Prospective Participants
To refer yourself or someone else to our program, complete the Referral Form or call us at 701-751-5090. Any contact remains anonymous until you choose to enroll.
If you’ve received a letter from NDPHP or the Board of Medicine call us at 701-751-5090. Again, any contact remains anonymous until you choose to enroll.
Enrollment Process
This is a general description of our enrollment process. For more specific information, contact us.
1Complete the Referral Form to the best of your ability. If you’d rather not complete the online form, please call us at 701-751-5090 or email us at info@ndphp.org.
2We call you to discuss your situation. We’ll also explain how we use your information. We do not inform the Board of Medicine of your participation when you self-refer or are referred by a third party.
3We discuss next steps. For example, we may need medical records or may need to conduct a more formal assessment.
4We determine if you have an illness and would benefit from our services. If you don’t, we close your file. We will not notify the Board of Medicine, unless there’s a violation that obligates us to inform the board.
5We ask you to sign an Intent to Participate Form and Monitoring Agreement. These specify your participation timeline and the situations where we must notify the Board of Medicine.
Your participation is important—for both your personal and professional health. Joining our program ensures long-term success in recovering from your illness.