Save time when you arrive for your appointment by completing your check-in paperwork online or by downloading, printing, and completing it at home.
Privacy Practices, Client Rights, and Data Privacy:
Request your own protected health information:
Authorize someone else to access your protected health information:
Forms for Telemedicine Clients
Telemedicine clients, when requested by your provider, please print, complete, and mail to the Minneapolis clinic.
4072 County Rd 25
Minneapolis, MN 55416
Telemedicine Policy Form
Patient Health Questionnaire (PHQ-9) form
Primary Care Physician Form
Consent for Treatment Form
If you're requesting community-based services, click here.
Some of these forms are PDFs which require free Adobe Reader (or a similar software) to view. Get Adobe Reader.