Patient Forms
Please help us be prepared for your first appointment by completing the following information. Just click on each link to
download the forms, print them and complete them at home. You can then mail them to our office at:
1870 W. Wayzata Blvd
P.O. Box 695
Long Lake, Mn 55356
Fax them to 952.475.1539 or simply bring them with you to your first visit.
We look forward to meeting you soon!
- Patient Health History Form
- Privacy Policy Form (HIPPA)
- Record Release - Please note this form needs to be filled out and sent to patient's previous office.
- Financial Guidelines
If you're unable to read PDF files, you can download Acrobat Reader free from Adobe.
Office Visits
/ Financial Info
/ Patient Forms
/ Testimonials