Register an Organization

This form is for organizations that want to be listed on FastTrackerMN. If you’re looking for mental health or substance use disorder care, please visit our search page to look for options near you.

Primary Contact

First Name(Obligatorio)

Last Name(Obligatorio)

Email(Obligatorio)

Phone Number(Obligatorio)

Extension

Organization Info

Organization Name(Obligatorio)

Notes for FastTracker Staff

If you have any information we should know about your organization, please enter that here. This will not be shown on the website.

Street Address

Street Address 2

City

State

ZIP Code

Direct Dial Phone Number(Obligatorio)

Main Extension

Website

How did you hear about us?(Obligatorio)

Mental Health Providers: I agree to update each location’s service availability information every 2 weeks. I understand that failure to do so will result in my organization not appearing in searches and eventually will be removed from the site.

Substance Use Disorder Providers: I agree to update each location’s service availability information every 24 hours. I understand that failure to do so will result in my organization not appearing in searches and eventually will be removed from the site. I also attest that all licensure information is up to date and accurate to the best of my knowledge.

All Providers: We are all partnering to serve Minnesotans and, in the interest of offering accurate, timely and accessible information, all partners agree that you have authority to submit and maintain this information and it is accurate to the best of your knowledge.

*Reminder emails will be sent with the above time frames and admins can update if nothing has changed with 1 click from the email.