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(320) 968-7234
FOLEY LOCATION - 471 MN-23, Foley MN 56329

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.