Contact Us

12000 Elm Creek Blvd N, Suite 350
Maple Grove, MN 55369

Local Phone Number: (763) 494-7700
Toll Free Phone Number: (800) 508-9763
Fax Number: (763) 494-7706
Email Address: info@mcrh.com

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phone 763.494.7700  •  toll free 800.508.9763  •   contact us

New Patient Forms

We find that your personal knowledge of your medical history is of great value as we help you develop your treatment plan. With this in mind, we have developed a number of tools which will help you recall important aspects of your medical history.

Completion of the New Patient Forms is perhaps the most important first step. Once you have booked your appointment, please download these forms and mail them to the appropriate location, preferably two weeks prior to your scheduled consultation. By allowing us to receive this important information well in advance of your appointment, we can better plan for your consultation, making the best use of your time.

MCRH New Patient Forms - For patients being seen in Maple Grove, MN

Oakdale Referred New Patient Forms - For patients referred from Oakdale or if you have been asked to fill out these forms for insurance purposes

Bismarck New Patient Forms- For patients being seen in Bismarck, ND

Fargo New Patient Forms - For patients being seen in Fargo, ND

Minot New Patient Forms - For patients being seen in Minot, ND

Satellite New Patient Forms - For patients seeing Dr. Corfman at other facilities.

Please remember to complete and return the New Patient Forms two weeks prior to your first appointment.

It is our practice to carefully review your New Patient Forms and to use this information as a basis for a phone visit with one of our staff prior to your new patient consultation. At that time our trained staff will review any parts of the history which may be unclear to us, permitting a “fine tuning” which will set the stage for a thoughtful, informative new patient consultation.

We greatly appreciate your willingness to let our team participate in your efforts to conceive. Should you have questions regarding any aspect of preparing for your first consultation, please do not hesitate to contact us. We are here to help, and we will be happy to assist you.

© 2011 The Midwest Center for Reproductive Health, P.A.