See below for forms to complete.
Established patients may log in to the patient portal to request appointments and update forms.
Patient Registration Forms
Between the Bridges Healing Center in Mankato, Minnesota, welcomes you to our practice. Once you have made your initial appointment, you may pre-register online by completing the interactive form(s) below, or you may download and print the form(s), fill them out, and bring them with you to your first visit. Completing the forms prior to your visit will help speed up the new patient registration process.
Also, be sure to bring any diagnostic films or other test results that may have been ordered or performed by another physician.
Downloadable Forms:
- Health History
- Patient Demographic Form
- Detox Questionnaire
- Release of Information
- Patient Permission to Share Health
- Esthetician Fee Schedule
- Fee Schedule
- Medicare Private Contract
- Privacy Policy
- Patients Bill of Rights
- Medication Tracking Form
- Map to Bridges
- Clinic Policies
- Communications Policy
Please note: It may take a few moments to load the forms if you are using a slow internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat Reader for free by clicking on the icon below.
