Parkviewclinic.com

Telemedicine/Patient Portal

WebFollow My Health is a secure, interactive patient portal where you can get your medical information as well as communicate with your provider 24/7. Primary Uses for Follow My …

Actived: 2 days ago

URL: https://www.parkviewclinic.com/telemedicinepatient-portal.html

Telemedicine New Patient Forms

Web1. Complete all new patient information and enter insurance information below. 2. Sign patient responsibility agreement. 3. Email Picture of Photo ID and Insurance card (front …

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Parkview Medical Clinic

WebParkview Medical Clinic. 1400 1st St NE. New Prague, MN 56071. Mainline Phone: 952-758-2535. After Hours Phone:

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NEW PATIENT INFORMATION

WebThrough Follow My Health, you can communicate with your provider, request appointments, view your information and stay connected with us. Indicate below if you wish to be sent …

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1400 1 St NE PO Box 186 PH: 952-758-2535

WebPARKVIEW MEDICAL CLINIC 1400 1ST St NE PO Box 186 New Prague, MN 56071 PH: 952-758-2535 John H. Berg Jr., MD FAX: 952-758-6101

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AUTHORIZATION FOR RELEASE OF MEDICAL INFORMATION

WebProvider Name and Address:_____ Parkview Medical Clinic_____ Who has the information? O Hospital O Clinic _____ PO Box 186, New Prague MN 56071_____ O Other

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Parkview Medical Clinic – Notice of Privacy Practices

WebVersion Date: 4/6/2015 This Notice first in effect on 4/14/2003 YOUR CHOICES For certain health information, you can tell us your choices about what we share.

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AUTHORIZATION FOR RELEASE OF MEDICAL INFORMATION

WebProvider Name and Address:_____ Parkview Medical Clinic_____ Who has the information? O Hospital O Clinic _____1400 1st St NE, New Prague MN 56071_____ …

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AUTHORIZATION FOR RELEASE OF MEDICAL INFORMATION

WebProvider Name and Address:_____ Who has the information? O Hospital O Clinic _____ O Other

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Patient Responsibility Form

WebPatient Responsibility Form Version Date 2-26-2019 jm Patient Responsibility Form Insurance • The patient is responsible for providing Parkview …

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SPORTS QUALIFYING PHYSICAL EXAMINATION

WebRevised 4/9/21 Page 2 of 5 Minnesota State High School League 2021-2022 SPORTS QUALIFYING PHYSICAL HISTORY FORM Note: Complete and sign this form (with your …

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Parkview Medical Clinic

WebParkview Medical Clinic - Fluoride Varnish Consent PLEASE READ THIS FORM BEFORE YOU SIGN We are following new guidelines for our well child visits and the Minnesota …

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