For Your Visit

We are honored that you have chosen MNGI for your care, regardless if this is your first visit with us or you are a returning patient. We are caring people caring for people and we will work hard to ensure that you have a positive experience. This area of our website provides many of the forms that patients or other providers might be asked to complete before an appointment, as well as information about procedure prep, insurance and billing. You can find additional information on our Resources page. If you have any questions, please feel free to call us at (612) 871-1145.  

Forms to Request Records

Release of Information Form - from MNGI to other entity (electronic form)

Release of Information Form - from other entity to MNGI (electronic form)

 

Health History / New Patient Forms

 

Adult Patient Authorization Form

Patient Authorization Form (electronic form)

 

Pediatric Authorization Form

Unaccompanied Minor Patient Authorization Form- For Clinic Use Only (electronic form)

 

Financial Assistance Application 

Other Useful documents

Low-Fiber Diet information