Open Door Health Center
Patient Forms
Below are patient forms we collect here at Open Door
It may help to have some of these forms filled out in advance of your appointment.
You can either fill them out electronically via SignNow, print them out and bring them to your appointment, or fax them ahead of time to (507) 388-3924.
If you fill out a form electronically there is no need to print or fax the form(s) to us.
Welcome Packet English https://signnow.com/s/hHkHmjju
Welcome Packet Spanish https://signnow.com/s/5RKhlOcS
Notice of Privacy Practices English https://signnow.com/s/98VDKIw7
Notice of Privacy Practices Spanish https://signnow.com/s/MbTxYDud
Registration English https://signnow.com/s/MArwSF7D
Registration Spanish https://signnow.com/s/1BwQgbWm
Care of Minor English https://signnow.com/s/MS7x3VYM
Care of Minor Spanish https://signnow.com/s/cCkjIKzz
Release of Info English https://signnow.com/s/PJTPwFR1
Release of Info Spanish https://signnow.com/s/GVEn0TPw
Telehealth English https://signnow.com/s/DQ1qRCMM
Telehealth Spanish https://signnow.com/s/Q8mpyDbi
Health History English https://signnow.com/s/PTBfxCXi
Health History Spanish https://signnow.com/s/dDQ7nR0A
Welcome Packet Verification English https://signnow.com/s/qFxrRcCd
Welcome Packet Verification Spanish https://signnow.com/s/Klok9eFb
Electronic Communication English https://signnow.com/s/qerCqmu5
Electronic Communication Spanish https://signnow.com/s/ONAIeqAm
Consent to Treat English https://signnow.com/s/I91PO4By
Consent to Treat Spanish https://signnow.com/s/CxOxKmyK
Patient Feedback https://signnow.com/s/OwiqmEHI
For an appointment call
(507) 388-2120
Fax: 507-388-3924