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Basic requirements for
receiving services at MIC: · Must provide proper documentation upon registration (tribal ID or descendency, birth certificate, social security card, whether or not you are insured, and two proofs of residency, & registration form).
Intake Documents and Forms If you are new to the Missoula Indian Center the following forms will be necessary to complete before you can obtain services from the agencies or departments
MIC Health Department MIC Health Registration Intake Packet IHS Notice of Privacy Practices pdf MIC Chem. Dep. Department Tribal
Health Patient Registration Forms pdf HIPAA: IHS Notice_of_Privacy_Practices pdf ASAP: other MIC Documents: Social Services Resource Guide
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Send mail to
Info@missoulaindiancenter.org
with your Calendar information.
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