Over 45 years of dedicated service
New Prague, MN
NEW PATIENT FORMS - PARKVIEW MEDICAL CLINIC
NEW PATIENT FORMS - OPTIMAL SPORTS
The following form may be filled out if you wish to allow Parkview Medical Clinic staff to speak to someone else involved in your care, such as a family member.
ROUTINE PHYSICAL vs. MEDICAL APPOINTMENTS
WELL CHILD CHECK UPS
DEPRESSION SCREENING TOOL
This form must be filled out entirely or processing of your claims may be delayed or denied. Failure to provide accurate and complete worker's compensation information may lead to the patient being responsible for the entirety of the bill for these visits. The patient is also responsible for telling Parkview/Optimal Sports which visits should be billed workers compensation and which should be billed to insurance. When scheduling an appointment, please indicate if this is for a workers compensation visit.