Forms

pdficon_small.gifPatient Registration Form(PDF)

pdficon_small.gifPatient Medical History(PDF)

pdficon_small.gifAuthorization to Release Medical Records (PDF)

pdficon_small.gifNotice of Privacy Practices (PDF)

Please call our office with any concerns about paperwork regarding your surgery. You may use our fax at 763.420.0500 to send us forms or request information, but please call our office at 763.780.6699 to notify us that the fax is coming or has been sent. Please allow 5–7 business days for completion of these requests. In some cases, you will be asked to complete a “Release of Medical Records” form before your information can be released.

PHONE 763.780.6699
FAX 763.420.0500
INFO@SGSMN.COM

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