Common Forms and Literature
We have compiled some of our most commonly requested forms and literature on this page for your convenience.
Other forms may be available on separate web pages or by direct request. If you are looking for a download that you do not see here, please visit Contact Us to submit a request.
Release of Information Forms
You can email your completed Release of Information request form to the
North Central Health Care Health Information Services department at
NCHCMedRecords@norcen.org or mail your request to:
North Central Health Care
Attn: Health Information Services
2400 Marshall Street, Suite A
Wausau, WI 54403
Referral Forms
Behavioral Health Services Referral Form
Behavioral Health Services Referral Instructions
Aquatic Therapy Referral Form Download
Child/Adolescent Psychiatry Packet
Aquatic Services
Aquatic Therapy Rules & Attendance
Addiction
Outpatient Services – Substance Abuse and Addiction Treatment
Outpatient Services – Substance Abuse and Addiction Treatment (Hmong)
Outpatient Services – Substance Abuse and Addiction Treatment (Spanish)
Outpatient Services – Substance Abuse Day Treatment
Outpatient Services – Substance Abuse Intensive Outpatient Program
Community Treatment
Children’s Long Term Support and Children’s Community Options Program
Community Treatment Brochure (Hmong)
Community Treatment Brochure (Spanish)
Community Treatment – IPS Supported Employment
Community Treatment – Youth Services
Crisis Services & Inpatient Mental Health
Youth Behavioral Health Hospital - Inpatient Care
Emergency and Crisis Services (Hmong)
Emergency and Crisis Services (Spanish)
Emergency and Youth Crisis Stabilization
Crisis Response Team (CART) (Marathon County)
Developmental Disabilities
Outpatient Services
Outpatient Services – Mental Health
Outpatient Services – Mental Health (Hmong)
Outpatient Services – Mental Health (Spanish)
Outpatient Services – Substance Abuse Day Treatment
Outpatient Services – Substance Abuse Intensive Outpatient Program
Outpatient Services – Substance Abuse and Addiction Treatment
Outpatient Services – Substance Abuse and Addiction Treatment (Hmong)
Outpatient Services – Substance Abuse and Addiction Treatment (Spanish)
Outpatient Services – Counseling in Schools
All Forms for Counseling in Schools found at
www.norcen.org/CounselingInSchools
Outpatient Services – Telehealth
Policies for Payment of Fees
Policies for Payment of Fees (English)
Policies for Payment of Fees (Hmong)
Policies for Payment of Fees (Spanish)
Patient, Client, Resident Rights & Responsibilities
Patient, Client, Resident, Rights and Responsibilities (English)
Patient, Client, Resident, Rights and Responsibilities (Hmong)
Patient, Client, Resident, Rights and Responsibilities (Spanish)
State of WI Rights Specific to Children and Adolescents
Rights of Children and Adolescents in Outpatient Mental Health Treatment
Rights of Children and Adolescents in Outpatient Mental Health Treatment (Hmong)
Rights of Children and Adolescents in Outpatient Mental Health Treatment (Spanish)
State of WI Rights and Grievance Resolution Procedure for Inpatient and Residential
Client Rights and the Grievance Resolution Procedure for Inpatient or Residential Services
Client Rights and the Grievance Resolution Procedure for Inpatient or Residential Services (Hmong)
Client Rights and the Grievance Resolution Procedure for Inpatient or Residential Services (Spanish)
Skilled Nursing
Transportation Services
Marathon County Transportation Program (MCTP)