Patient Forms and Lab Results

We have made our forms available online. When you make your appointment, the staff member will let you know which form(s) are needed. Our online forms are secure and HIPAA-compliant.

If possible, please fill out any needed forms before the scheduled time of your visit!

New patient/yearly forms

These forms are required for new patients and must be updated annually for established patients

Demographic and Health history form

Other forms

Please fill out the forms that are applicable to your appointment

Teleheath Services
- Telehealth Consent Form
Consent Forms
- Parental/Guardian Consent Form
- ADI (Authorization to Disclose Patient Information)
Continuation or Transfer of Care
- ROI (Release of Information)

Lab results

Need to see your lab results?
Log into your patient portal.

If you are unable to fill out your form/s online prior to an in-person visit, you may use the PDF forms below:

Health History Form
Parent/Guardian Consent Form
ROI (Release of Information)
Demographic Form
ADI (Authorization to Disclose Patient Information)

Now in-network with Aetna, Cofinity, & Blue Cross Blue Shield Commercial Plans!

Patient Forms and Lab Results

If possible, please fill out any needed forms before the scheduled time of your visit!

New patient/yearly forms

Other forms

Lab results

A new Medical clinic in Minnesota

PrimeCare Minnesota is not a replacement for emergency services. If you have an immediate life-threatening emergency call 911 or go to the Emergency Department.

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