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Patient Forms

If you are a new patient to our office, below you will find our new patient forms that will need to be filled out when you arrive at our office. All forms, front and back, need to be completed. Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival. Thank you and please call our office if you have any questions at all.

Welcome Form

Health History Form

Financial Agreement

HIPAA Privacy Form

Contact Us

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We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.

619 6th Ave SW|Pipestone, Minnesota 56164|MAP & Directions

Call: (507) 825-4214