Access our paperwork online! All forms are available to print or complete electronically.
New Patients - Complete the Three Forms in Red
Forms can be completed online using DocuSign. Alternatively, you can print the forms and bring them into the office or email them to: firstname.lastname@example.org.
Release of Information Forms
If you are an existing patient or new patient needing to send in your medical records, you may have been asked by a staff member to complete one of the following forms.
Print the following forms then scan or take a picture of your completed paperwork and email it to us along with your name and date of birth to email@example.com
Phone: (320) 251-2600
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.