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 info@integracareclinics.com

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

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 info@integracareclinics.com

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.

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.