Patient Intake Form

*NEW* Fill out and submit your New Patient forms online! No printing necessary!

Click here for the form


Auto Accident Intake Form

Download & Print Form


Worker's Compensation Intake Form

Download & Print Form


Member Wellness Registration Form - Optional

This form is necessary to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep updated on current health issues, news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right side of this page. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form


AdvaCare Clinics, Ltd. offers our patient form(s) online so you can complete it in the convenience of your own home or office.
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print and fill out the required information.
  • Fax us your printed and completed form(s) to 952-835-3895 or bring it with you to your appointment.


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