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507-835-3050
southernmncdc@gmail.com
Monday - Thursday: 8:00am – 4:30pm
Patient Forms
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Please fill out each form below that pertains to patient before your first appointment.
Medical History
Form
Privacy Notice
Form
Patient Information
Form
Southern MN CDC Policy
Form
Child Medical History
Form
Need to transfer your records or Xrays to us, or to another provider? Please fill out this form:
Dental Records Release
Form