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Documents and Forms

You may need to fill out one or more of these forms before your next appointment:

Health History form 
Stillwater Medical Group requests that this form be filled out at each check-in for regular appointments.

Medical Release of Information form
Any patient may request for the release of his or her medical records.

Consent forms

Neurology History form

Osteoporosis Health Risk Assessment Form

Lab Appointments and Instructions for Fasting

Adult Preventive Guidelines form 
Recommended screenings and preventive services for adults.

Minnesota High School Sports Physical Examination Form

Wisconsin High School Sports Physical Examination Form

GAPS Survey for Parents

GAPS Survey for Teens

Child Health Screening Schedule form
A schedule for children's immunization needs.

Authorization to Treat Unaccompanied Minors

Infertility - Female History Form

Infertility - Male History Form


These forms are in pdf format. To view these files, you need the Adobe Acrobat Reader plug-in. This is a free download from Adobe.

Download Acrobat Reader



 

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