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Referral & Placement
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Referral and Placement Process
Charles Hall Youth Services at a Glance (MS Word.doc)
Intake Criteria (.pdf)
ND Universal Application (.pdf)
Shelter Care Request Form
(doc.)
Contact Jenna Kirchmeier, Admissions Coordinator, with any references to the program at
701-255-2773, ext. 321, or by fax at 701-255-6261
Complete ND Universal Application and mail to:
Charles Hall Youth Services
513 E. Bismarck Expressway
Bismarck, ND 58504