Start the electronic intake process by filling out the form below. With this process, you'll receive digital forms that you can complete whenever it's convenient for you.

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​This form is to establish routine care or services. Modern M.O.j.O. does not provide 24-hour on-call or emergency services. Visits are by appointment only. If you have an urgent need or emergency need for mental health assistance, please call the Suicide & Crisis Lifeline at 988, call your local emergency services at 911, and/or go to the nearest emergency department. 

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If you're unable to fill out the electronic forms online, please contact us by phone or email, and we can provide you with paper versions of the intake forms.

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Phone: 218-999-7750

Email: modernmojospecialist@gmail.com