Resources

Complete Forms Online

New Patient Forms

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.

Privacy Policy

This notice applies to the medical records maintained by this office and it specifically details how your medical information may be used and disclosed to third parties. This notice also details your individual rights regarding your medical records.

Release of Information Forms

Sending Records OUT of Integracare

To be completed when requesting Integracare send the information to another medical facility.

Sending Records INTO Integracare

To be completed when sending information to Integracare from another medical facility.

Medication Contracts

Controlled Substances Agreement

Complete this form if an Integracare provider or staff member has instructed you to complete it electronically.

Surgical Center Information

St Cloud Surgical Center Checklist

Information for Dr. Elsheikh’s patients

Dr Elsheikh’s Patient Information

Information for Dr. Elsheikh’s patients