I understand that any personal health information may be subject to redisclosure once downloaded from this website, and may no longer be protected by applicable Federal and State privacy laws. I hereby release, discharge, and agree to hold NorthKey Community Care harmless from any liability that may arise from the information entered on this website.
Information entered here will NOT be stored for any purpose.
- Sign up for the Client Portal- Click Here
- Already have a portal account? To sign into the portal- Click Here
- Read the Notice of Privacy Practices- Click Here
- Read the Confidentiality Agreement- Click Here
- Review the Grievance Procedure- Click Here
- Review IDD Participant Rights- Click Here
- Review Client Rights- Click Here
- View the Sliding Scale Fee- Click Here
- Print and fill out or complete digitally the Client Information form – Click Here
- View, print, and sign my Release of Information – Click Here
- View, print, and sign my Treatment Planning Visit Form – Click Here
If you wish to print out a form and sign it, you can either drop it off at one of the NorthKey locations or email it to us at: Nk_him@northkey.org.