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Save time at the health center by downloading and completing the forms you need before your visit.

Iowa and Nebraska Health Centers


Minnesota Health Centers

  • No-Cost Birth Control Application (PDF)
    No insurance? You may qualify for no-cost birth control at one of our Minnesota health centers. Fill out this form and bring it to your visit to apply.

Medical Records Release Forms

Need a copy of your medical records? Please read the descriptions below and fill out the form that applies to you, then fax the completed form to 651-696-5543 or scan to [email protected]


South Dakota Health Center

Need a copy of your medical records? Please read the descriptions below and fill out the form that applies to you, then fax the completed form to 651-696-5543 or scan to [email protected]

 

Questions about which form to fill out? Give us a call at 1-800-230-7526.