Listing Request | CCHD | Valley City, ND

Barnes County Health & Wellness Resources

Request to be Listed in Resource Guide

City-County Health District (CCHD) collects local health and wellness resources to include in the Barnes County Health & Wellness Resource Guide.

Organization Name

Provider (if applicable)

Multi-line address

Country/Region

Address

City

Zip / Postal code

Office Phone

Toll-Free Phone Number (if applicable)

Emergency or Crisis Line (if applicable)

Fax Number

Website

List of services

Is a Referral required to access services?

Yes

No

Other

Describe any eligibility requirements (ie, income, age, etc.)

Logo

Name of person completing form [Item will not be published]

Email [Item will not be published]