An official website of
Dakota County, Minnesota
Social Services Vendor Portal
Social Services Vendor Portal
Please Complete the Form:
Agency Name
*
-Select an Option-
MVNA
Alliance
Other
Other Agency Name
Agency Contact Name
*
Agency Email Address
*
Client Last Name
*
Middle Initial
Client First Name
*
Client PMI
*
Client Date of Birth
*
Consultation Services Provider Picked
*
-Select an Option-
No Service Provider Selected
Provider Not Listed
Advantage PCA Services Inc.
Alliance Health Services
Arc Northland
Choices for Children (Accra Care, Inc.)
Community First Consultation Services
Country Services, Inc.
Cross Cultural HomeCare Inc.
Fenyx Community Consultation
Global Health Link
Harry Meyering Center
HealthMax Home Health Care Services
Lifeworks
MaiTee
Metropolitan Community Services
MRCI
Orion ISO
Pinnacle Services Inc.
Professional Service Group
Public Partnerships LLC (PPL)
St. David’s Center
If Not Listed, Please Provide Consultation Services Provider Picked
Service Agreement Start Date
*
General Note Comments
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