Below you will find the Health History Form for new patients. You can print and fill this form out at home to save time in the office.

Click here or the image below to download.


This form is a pdf and requires AdobeReader┬«. If you do bot already have AdobeReader┬«, download it for free here.

Contact Information

Phone: 612-925-1649
Fax: 612-435-4161

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3018 W 56th St, 
Minneapolis, MN 55410

Map & Directions

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Office Hours

Monday:  2:00pm - 6:00pm
Tuesday:  Closed
Wednesday:  7:30am-11:30am, 2:00pm - 6:00pm
Thursday:  9:30am-11:30am
Friday:  Closed
Saturday:  9:00am - Noon
Sunday:  Closed