+ DOT Physical Form – Northland Health Centers

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104 Main St Turtle Lake, ND 58575

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To speak with a nurse after hours please call: 877-609-3577

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Community OUTREACH Coordinator

McKenzie Leggett - Minot

701-852-4602

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Minot

Community outreach coordinator

Michelle McCamy - Bismarck

701-255-4242

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Bismarck

Marketing & Events Coordinator

Jerica Smithers - Turtle Lake

701-448-2054

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Turtle Lake

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DOT Physical Form

Please complete only Section 1. Section 2 will be completed by your medical provider at your exam.

Choosing the right provider could mean the world of difference in the care you and your family receives.

Departments

Behavioral Health
Billing
Careers
Dental
Medical
Medication Assisted Treatment
Patient Outreach
Patient Portal

Central Office

104 Main Street, Turtle Lake
ND 58575, USA
info@northlandchc.org
877-609-3577

Mon-Thu: 8:00 – 5:00
Fri: 8:00 – 3:30

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