patient forms
Uptown Pediatric Intake FormBringing a child from birth to 7 years to our Uptown – South Minneapolis clinic? Complete the pediatric intake form online before the first visit.
UPTOWN – MAIN CLINIC
Pediatric Intake Form (Birth to 7 Years)
Parents and guardians: follow the steps below to complete and sign your child’s intake form.
For patients 8 and older, use the Uptown Patient Intake Form.
Contact Information
Uptown Location
2937 Lyndale Ave South
Minneapolis, MN 55408
Prefer to Call?
Call (612) 879-8000 during office hours and our team will help you find a time that works.
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.