New Patient Forms and Processes

If you are a new patient to our clinic, you can conveniently print the necessary forms to fill out and bring with you. (*** Click on the Back button in your browser to return to this page after you print the documents. ***)

You will need Adobe Reader.  If you don't have Adobe, click here for a free copy.

 

1.  Print the Patient Registration Form.  Fill out the form and bring it with you to your appointment.

 

2.  Read the Notice of Privacy Practices.

 

3.  Print the Consent Form.  Sign and date it, and bring it with you.  If you would like a printed copy of the Privacy Notice, you may request one at your appointment.

 

4.  Bring paperwork, your insurance card, any co-payment, and a government issued ID to your appointment.

France Avenue Family Physicians

7600 France Ave Ste 4100

Edina, MN 55435

Phone: (952) 831-1551

Fax: (952) 831-0725

customerservice@fafpedina.com

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