Request Services

Please call or email to request services:
Phone: 507-389-1443
Email: ruralhealth@mnsu.edu
Address: University Square 1600 Warren Street, Suite 6, Mankato, MN

Refer for Services

If you are referring someone to receive services from the Rural Behavioral Health Clinic, complete and submit this form below. Additionally, if you as a referral source, need to have communication with the Rural Behavioral Health Clinic, complete an Authorization to Release Information form, permitted by client, with the referral form by email: ruralhealth@mnsu.edu or fax: 855.360.3593

Referral Form

Scan the QR code or click the link above to be taken to the Referral form.

Authorization for Releasing Information

If you need information exchanged between the Rural Behavioral Health Clinic and permitted third parties, complete and submit this form demonstrating your authorization by email: ruralhealth@mnsu.edu or fax: 855.360.3593

Authorization to Release Information Form

Scan the QR code or click the link above to be taken to the Authorization form.