Patient Forms

The forms below are provided for your convenience to fill out prior to your appointment. Click on a link to open a form in a new window. Print, complete, and bring your form with you to your next appointment.

• Authorization to Release Medical Records 2018

• Burnsville Family Physicians/Twin Cities Orthopedics Notice of Privacy Practices

• MSHSL 2018-2019 Sports Qualifying Physicial Examination Form

• MN Health Care Diective - Honoring Choices

• Motor Vehicle and Third Party Liability Registration Form

• My Chart Access - Authorization to Release Protected Health Information

• New Patient Information

• Workman's Compensation Registration Form

A Note about PDF Documents

PDF documents on this page require Adobe Reader to view. You may obtain Adobe Reader for free from the Adobe website by clicking the icon. If you already have Adobe Reader installed on your computer, you do not need to install it again.