30 13th Street, Havre, MT 59501(406) 265-2211 PATIENT PORTAL Primary Menu Northern Montana Hospital (NMH) DOCUMENTS Home About Us Documents DOCUMENTS: Pfizer Covid Community Consent Drive-Thru Flu Clinic Form Authorization for disclosure of PHI FY20 Community Health Needs Assessment Evaluation Community Health Needs Assessment and Community Health Improvement-Plan 2020-2023 INF 0120 COVID19 Vaccination Consent – Community | Immtrax Consent Adult ADM0702 Authorization for disclosure of PHI AVID CMS Brochure AVID Strategic Content Brochure Benefits at a Glance 2016 Childbirth Preparation Classes for 2019 Community Benefit Report FY19 Community Health Needs Assessment Evaluation 2018 – 2020 Community Health Needs Assessment and Implementation Plan Consumer Guide to Healthcare Prices Diabetes Brochure Discrimination is Against The Law Doctor Directory-Current Version Adult-Schedule Early Childhood Investment Team 2012 Community Needs Assessment Financial Assistance Policy Foundation Brochure and Pledge Form Havre Women’s Golf Association Assistance Fund Application Hill County Resource Guide Home_Safety_Checklist for Seniors How To Apply Online – Application Process Inability To Pay Medication_Questions for Seniors MHSA_Physical_Exam_Form NMH Financial Assistance Policy NMHC Financial Assistance Requirements NMHC Financial Assistance Application NMH Standard Charges as of 07.01.18 NMH-Standard-Charges-as-of-07.01.19 Northern Montana Hospital Community Health Needs Assessment Photo Map 2018 Aerials Pre-participation_physical_exam_form Press Release on Occupational Therapy Senior_Falls_-_Facts_and_Fig Serving of Hope Brochure Volunteer Application and Information ADDITIONAL INFORMATION: 1 PATTERN AND INSTRUCTIONS FOR SEWING OF EMERGENCY FACE MASKS: These may be dropped off at Northern Montana Hospital through the 2nd Floor Emergency Department Doors. https://freesewing.org/docs/patterns/fu fu-facemask-freesewing.org.letter 2 COMMUNITY BENEFIT REPORT: ESTABLISHED IN 1976 A HEALTHY COMMUNITY STARTS HERE. Mission: to deliver high-quality, comprehensive health care services to the Hi-Line communities. Vision: to be the healthcare provider and employer of choice for our Hi-Line communities. QUALITY CARING SERVICE BOARD OF DIRECTORS Miles Hamilton, Chairman: Independence Bank, Havre David Leeds: KOJM/KPQX, Havre Kirsten Kammerzell: Farmer, Chester, MT Dr. Karrie Lien: Provider, Northern Montana Hospital Dr. Kevin Harada: Chief of Medical Staff: Northern Montana Hospital Dr. Cameron Acor: Provider: Northern Montana Hospital Dr. J. Gary Grow: Provider: Northern Montana Hospital-SMC David C. Henry, Pres/CEO: NMH/NMHC Tom Patrick: Tom Patrick Construction, Havre Paul Tuss: Bear Paw Development Andy Carlson: Havre Public Schools, Havre Rick Stevens: Retired CEO Triangle Communications/ Hill Co. Electric Debbie Healy: Koefod Insurance, Havre Father Daniel Wathen: St. Jude’s Parish, Havre NMHC, INC. / NMH OFFICERS Miles Hamilton – Chairman David C. Henry – President David Leeds – Vice Chairman Rick Stevens – Treasurer Dr. Karrie Lien – Secretary Christen Obresley – Vice President CONNECT WITH US 30 13th Street Havre, MT 59501 Click here for Driving Directions P: (406) 265-2211 (800) 352-5097 E: info@nmhcare.org * PRESSROOM Northern Montana Health Care Awards “C.A.R.E.” Award to Bill Chambers Northern Montana Health Care Awards “C.A.R.E.” Award to Garrit Ophus Northern Montana Health Care Awards “C.A.R.E.” Award to Thora Beck Northern Montana Health Care Awards “C.A.R.E.” Award to Susan Hanson Northern Montana Health Care Awards “C.A.R.E.” Award to Jessica Sheehy, PA-C LINKS 2021 © Copyrights Northern Montana Health Care. All rights reserved.