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Patient Forms

 All the forms on this page require Adobe Reader. You may download Adobe Reader for free from the Adobe website.

Please download these forms to read and fill out prior to coming to your or your child's first visit.

Forms
   Authorization to Release Medical Information Form
   Notice of Privacy Practices (English)
   Patient Consent Form
   Patient Information Form
   Visiting Professorship

In The Patient & Family Center

  • Make An Appointment
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  • Glossary of Terms
  • Helpful Links
  • Patient Testimonials

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    Sara's Story
    Most people are amazed when I tell them I weighted 2 pounds when I was born...

    J. Ross Brickman
    I have been going to the Children's Heart Clinic since 1989...

    Main Offices:

    Minneapolis, Minnesota
    2545 Chicago Ave So
    Suite 106

    Appt Phone: (612) 813-8800

    St. Paul, Minnesota
    347 North Smith Ave
    Suite 603
    St. Paul, MN 55102

    Appt Phone: (651) 220-8800

    View All Locations
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