PATIENT PAPERWORK
PATIENT PAPERWORK
ALL FORMS ARE AVAILABLE TO PRINT OR COMPLETE ONLINE
This paperwork is intended for new patients who are coming to the clinics for the first time. If you are unable to complete the forms before your visit, do not worry – you can fill them out on paper when you arrive at the office!
This paperwork asks about your symptoms that you will be seen for during your appointment.
This consent to treat must be signed prior to receiving care at the clinics.
This notice must be signed prior to receiving care at the clinics. This is our HIPAA paperwork.
To be completed when sending information to Integracare from another medical facility.
To be completed when sending information from Integracare to another medical facility.
Phone: (320) 968-7234
Email: info@integracareclinics.com
Clinic Hours: Monday – Friday; 7am – 5:30pm
Copyright 2023, Integracare LTD, All Rights Reserved. Information on this website should not be regarded as medical advice.
