Referral Form – MN

To refer someone to the NEGC program, please fill out and submit the form below. There are two methods of completing the form: Method 1: Download the PDF form, type your responses into the fields, and save a copy to your computer.      or Method 2: Print the PDF form, write your responses into the fields, scan the completed form, and save a copy to your computer. Please submit the completed form by emailing it as an attachment to Elise.Durbin@hennepin.us and CC...