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