Duluthfamilymedicineclinic.org

Patient Resources

WEBYour family medicine doctor may decide you need to see a specialist. Your insurance company may require a referral first. Please contact your insurance company to verify …

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URL: http://www.duluthfamilymedicineclinic.org/patient-resources/

Duluth Family Medicine Clinic

WEBThe Duluth Family Medicine Clinic is an equal opportunity provider and employer. 330 North 8th Avenue East Duluth, Minnesota 55805 ; 218-723-1112

Category: Medicine Go Health

Medical Professionals

WEBThe Duluth Family Medicine Clinic is an equal opportunity provider and employer. 330 North 8th Avenue East Duluth, Minnesota 55805 ; 218-723-1112

Category: Medicine Go Health

Classes & Support Groups

WEBThe Duluth Family Medicine Clinic is an equal opportunity provider and employer. 330 North 8th Avenue East Duluth, Minnesota 55805 ; 218-723-1112

Category: Medicine Go Health

Patient Health History Form

WEBPatient Health History Form Legal Name: Preferred Name: Date of Birth: Occupation, if employed: Sex Assigned at Birth: Female Male Intersex Gender Pronouns: Gender Identity:

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Authorization for Disclosure of Health Information

WEBAuthorization for Disclosure of Health Information. PLEASE PRINT. 330 N 8th Ave E Duluth, MN 55805 Phone: 218-723-1112 Fax: 218-529-9120.

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Patient Label Patient Health History Form

WEBHigh cholesterol : Cardiovascular or heart disease Blood clots ; Osteoporosis or osteopenia : Gastrointestinal disease (gut, bowel) Depression HIV or AIDS Genetic disease

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