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