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Need to Update Information or Fill Out a Form?

Below  are links to several forms clients might need to fill out. 

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Please Print and Fill out all Forms Below in blue or black ink!

Click the Links Below
Please fill all forms out completely and return to Mid Missouri Community and Legal Services

AA/NA Sign in Sheet

Community Service Work Form- Dent County

Authorization for Client Contacts

Credit Card Authorization Form

Medication List Form

Community Service Work Form- Crawford County

Job Search Log

By filling these forms out you certify that the information is accurate and correct. You understand that any omission or erroneous may be grounds for violation. 

Contact Us

Thanks for submitting!

Office Hours

Monday through Friday

9:00am to 4:30pm

Closed for all national holidays

Steelville office:
208 E. Main St.

Steelville MO 65565   
Office:  (573) 753-0011 

 

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Salem Office: 
1100 W. Scenic Rivers Blvd. Suite D.

Salem MO 65560 

Office:  (573) 453-2224

Fax:  (573) 453-2225


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Email inquiries: midmocls@gmail.com

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©2023, Mid Missouri Community and Legal Services, LLC

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