patient forms

Golden Valley New Patient Form

New to our Golden Valley clinic? Complete your intake form online before your first visit so we can spend more of your appointment on your care.

GOLDEN VALLEY CLINIC

New Patient Intake Form

Follow the steps below to complete and sign your intake form.

Contact Information

Golden Valley Location

5661 Duluth St
Golden Valley, Minnesota 55422

(612) 474-4424

Prefer to Call?

Call (612) 474-4424 during office hours and our team will help you find a time that works.

Other Forms

All patient forms

Office Hours (Both Locations)

Monday:    8:30 am – 1:00 pm, 2:30 pm – 6:00 pm
Tuesday:    2:00 pm – 6:00 pm
Wednesday:    8:30 am – 1:00 pm, 2:30 pm – 6:00 pm
Thursday:    2:00 pm – 6:00 pm
Friday:    8:00 am – 1:00 pm

Prefer to Call?

We are here to support your health journey. Schedule your visit today.

Call (612) 879-8000