RESOURCES
RESOURCES
The three forms in the red section below are to be completed by new patients.
Further down the page in the white section, you will find the two release of information forms to be completed if you would like to send health records in or out of Integracare.
All forms can be completed/submitted online, or they can be printed and brought into the office.
Patient Intake Form
This paperwork asks about your symptoms that you will be seen for during your appointment.
Consent to Treat
This consent to treat must be signed prior to receiving care at the clinic.
Patient Notice
This notice must be signed prior to receiving care at the clinic. This is our HIPAA paperwork.
Release of Information Forms
Sending Records OUT of Integracare
To be completed when requesting Williams Integracare send the information to another medical facility.
Sending Records INTO Integracare
To be completed when sending information to Williams Integracare from another medical facility.
100 South 2nd Street, Sartell, MN 56377
Phone: (320) 251-2600
Email: info@integracareclinics.com
Clinic Hours: M/W 8am-6pm & Tu/Th/F 7am-5pm
Copyright 2023, Integracare LTD, All Rights Reserved. Information on this website should not be regarded as medical advice.