Patient forms

Properly documenting your care

To ensure proper documentation and billing of your visit, it is imperative that the appropriate forms be completed, signed and brought to your first visit.

A packet of these forms will be sent to you in the mail after you set up your appointment. For a PDF of these forms, download below.

If you have a Medfusion online secure patient portal account and wish to request past medical records be made available on your account, log in here.

For more information about Medfusion online secure patient portal, see our brochure or FAQs.

If you DO NOT have a Medfusion Patient Portal account, you may establish one by calling 612.775.6212 or sending an email to MedicalRecords2@tcspine.com.

If you have questions about any of the financial forms below, please contact the Business Office at 612.775.5680 Monday through Friday between 8 a.m. and 4:30 p.m. Central time.

Downloads

• Financial disclosure.
• Notice of privacy practices.
• Patient financial policy.
• Medical records release.
• Consent forms.
• Registration form.
• Verbal authorization.
• Patient Intake Form.
• ODI.
• NDI.