1-612-869-4444 5939 Portland Ave S, Minneapolis, MN   |  M-F 9:00am - 5:30pm

Patient Forms

At this time, we have the following forms available to  fill out in advance of your appointment.  Click the document title to visit the embedded form or to view and download.

Requesting Forms or Letters From Your Provider

If you need any forms filled out by your provider or any letter written by your provider, you will need to schedule an appointment with your provider for completion of these forms and/or letters.  You will need to bring these forms to your appointment, with all patient sections already filled out.  For letters, you will need to bring the name and contact information of any person and/or department to send the letter, as well ass addresses, emails, and/or fax numbers for sending the letter.

At Diamond Lake Clinic, we have the utmost respect for your privacy and confidentiality.  Please read our Notice of Privacy Practices to understand how your health information is protected.