Intake Form

Hello: In order to receive services, we need you to complete this intake form for our records. It may take 30 minutes to complete.

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NCIDC and Walking Shield Office Numbers
Northern California Indian Development Council's (NCIDC) Eureka office number is (707) 445-8451 or you can call us toll free at (800) 566-2381. (This office also offers services to California statewide if you do not see your county below.)  Program Assistant: Alberta Wilson; Case Manager: Mamie Asenbauer

NCIDC's Crescent City (Del Norte) office number is (707) 464-3512. Regional Manager/Case Manager: Jeremiah Swain

NCIDC's Yreka (Siskiyou) office number is (530) 842-6157.  (This office also serves Oregon, and Butte and Shasta County in California.) Regional Manager/Case Manager: Joyce Jones; Case Manager: Rosie Kerr

Walking Shield's Costa Mesa office number is (657) 900-2197. This office serves Orange County, Riverside County, and San Bernardino County.

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