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/uXsohzO1

Welcome Packet Spanish                            https://signnow.com/s/68dBfJSH

Notice of Privacy Practices English          https://signnow.com/s/uX5ioqfv

Notice of Privacy Practices Spanish        https://signnow.com/s/ZmwqVNvK

Registration English                                     https://signnow.com/s/WVp0j6dB

Registration Spanish                                    https://signnow.com/s/KeAJWhNn

Care of Minor English                                  https://signnow.com/s/zy4DT7xZ

Care of Minor Spanish                                https://signnow.com/s/t7erxiSv

Release of Info English                                https://signnow.com/s/PpJBK9mA

Release of Info Spanish                              https://signnow.com/s/xGJns8hW

Telehealth English                                        https://signnow.com/s/d0fcKDf8

Telehealth Spanish                                       https://signnow.com/s/c6sylaPu

Health History English                                 https://signnow.com/s/K4B86sPQ

Health History Spanish                                https://signnow.com/s/ZJwJj56g

Welcome Packet Ver English                     https://signnow.com/s/AuVKxbKi

Welcome Packet Ver Spanish                    https://signnow.com/s/xBMKqCSr

Electronic Communication English         https://signnow.com/s/Im8787ur

Electronic Communication Spanish        https://signnow.com/s/oMPoNAoB

Patient Feedback  https://signnow.com/s/OwiqmEHI

For an appointment call

(507) 388-2120

Fax: 507-388-3924