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New Patient Forms | Ear, Nose & Throat Clinic | minnesotaent.com

Forms

New patient forms


Patient health history

For new patients, if you prefer to take care of paperwork in advance of your first appointment, download and complete the health history form and bring it to your appointment. This provides us with important information about your health. All answers are strictly confidential and will become part of your medical record.

All patients are asked to review and sign this form that outlines our policies and confirms your consent for diagnostic procedures and medical treatment.

Authorization forms


Guardian pre-authorization

For guardians of ongoing patients, this form provides advance authorization for medical care delivered to patients, without a having to be present prior to each treatment.

Request medical records

Request access to medical records through HealthMark, our trusted partner for secure online record management. Click below and enter your email to get started.

Most requests are processed within 1–2 business days and delivered electronically—right to your inbox.

Golden Valley Road

Hospital Drive

Oakdale Avenue North