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North Metro Surgery CenterNorth Metro Surgery Center

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Patient Forms

At North Metro Surgery Center, your time is as valuable to us as it is to you. That’s why we provide online access to a variety of forms that patients may complete before their visit. The following documents will help us expedite the check-in process for your appointment. Please take a moment to download and print the appropriate form(s).

Notice of Privacy Practices

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Multiple Authorization Form

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History & Physical Form

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Patient Rights and Notification of Physician Ownership

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Patient Miralax Colonoscopy Prep

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Keeping You Safe How To Prepare For Surgery Patient Forms Insurance and Billing CareCredit Request an Appointment
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North Metro Surgery Center
11855 Ulysses Street, Suite 270,
Blaine, MN 55434

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