We are happy you have chosen North Clinic for your healthcare needs. To better serve you and help save time when you arrive for your first appointment, you may download, print and complete our Health History Questionnaire prior to your visit.
If unable to complete this forms ahead of time, we ask that you arrive a few minutes ahead of your scheduled appointment time to complete the form in the office. The form is an Adobe Acrobat file. If you do not have Adobe Reader installed on your computer, you may download it.
We ask that you bring the completed form and your current insurance card to your appointment.
If you have questions, please call our Business Office: (763) 587-7811
Thank you in advance for completing this form. We are looking forward to meeting you and providing for all your healthcare needs.