Do you need a form filled out for day care, school or camp?

We will complete your forms and guarantee it will be mailed back to you within 2-3 weeks. To speed the process, please complete as much of the form as you can. Also, please let us know if you’d like us to mail the completed form to you or if you would prefer to pick it up.

Below are other medical forms you might need. Please print them and either fax them to us at 952-401-8242 or bring them to your scheduled appointment.

• Consent For Services
• Demographic Form
• Health & Family History (Birth-12 months)
• Health & Family History (12 months-9 years)   
• Health & Family History (10 years and older)   
• Nutrition & Healthy Lifestyles (Ages 2-5 years)
• Nutrition & Healthy Lifestyles (Ages 6-11 years)
• Nutrition & Physical Activity Self-Assessment Form
• Parent Questionnaire (Ages 0-18 months)
• Parent Questionnaire (Ages 2-5 years)
• Parent Questionnaire (Ages 6-11 years)
• Parent Questionnaire (Ages 12 years and older)
• Release of Medical Information

Opening these files requires Adobe Acrobat. Download it here, for free.