Common Forms and Literature

front view of building

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

Release of Information Form

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
1100 Lake View Drive
Wausau, WI 54403

Referral Forms

Behavioral Health Services Referral Form

Behavioral Health Services Referral Instructions

Aquatic Therapy Referral Form Download

Aquatic Services

Aquatic Therapy

Addiction

Lakeside Recovery

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 – Driving With Care

Community Clubhouse Brochure

Community Treatment

Children’s Long Term Support and Children’s Community Options Program

Community Treatment Brochure

Community Treatment Brochure (Hmong)

Community Treatment Brochure (Spanish)

Community Treatment – IPS Supported Employment

Community Treatment – Youth Services

Crisis Services

New! Youth Behavioral Health Hospital - Inpatient Care

Emergency and Crisis Services

Emergency and Crisis Services (Hmong)

Emergency and Crisis Services (Spanish)

Emergency and Youth Crisis Services

Marathon County Crisis Response Team (CART)

Developmental Disabilities

Adult Day Services – Wausau

Adult Day Services – Antigo

Prevocational Services

Prevocational Services - Work Exploration Site (Bethesda)

Prevocational Services - Work Exploration Site (Camp Blessing)

Prevocational Services - Work Exploration Site (Dime & Dollar Thrift Store)

Prevocational Services - Work Exploration Site (MC Human Society)

Prevocational Services - Work Exploration Site (Salvation Army)

Prevocational Services - Work Exploration Site (St. Vincent De Paul Thrift Store)

Prevocational Services - Work Exploration Site (Stable Hands)

Prevocational Services - Work Exploration Site (Woodson YMCA Aspirus Branch)

Prevocational Services - Work Exploration Site Registration Card

Outpatient Services

Outpatient Services – Counseling in Schools

Outpatient Services – Driving With Care

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 – Telehealth

Outpatient Provider – Directory

Policies for Payment of Fees

Policies for Payment of Fees

Policies for Payment of Fees (Hmong)

Policies for Payment of Fees (Spanish)

Patient, Client, Resident Rights & Responsibilities

Patient, Client, Resident, Rights and Responsibilities

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 Residentials Services (Hmong)

Client Rights and the Grievance Resolution Procedure for Inpatient or Residential Services (Spanish)

Skilled Nursing

Mount View Care Center – How to Choose a Nursing Home

Mount View Care Center – Legacies by the Lake

Mount View Care Center – Northwinds Vent

Mount View Care Center – Reflections

Mount View Care Center – Southshore

North Central Health Care Overview

Transportation Services

Marathon County Transportation Program (MCTP)

Volunteer Services

Volunteer Services

Wausau Campus Map

North Central Health Care Campus Map