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Patient Forms

Forms to fill out for your first visit

Please print and complete the health history form and bring it with you to your first appointment.

Health history form

If you are seeing a physical therapist for an injury or problem in your low back, shoulder, knee, or neck, also print and complete the form specific to that problem.

 
Medical records

Do you need a copy of your medical records from IAM?  Click the link below to download an authorization form. Submit the completed and signed form via mail, fax or email to IAM Central Medical Records (see info after the link). Please call with any questions or concerns you may have.

Authorization for Release of Protected Health Information (PDF format)

Institute for Athletic Medicine
Central Medical Records
400 Stinson Blvd NE #3047
Minneapolis, MN 55413
Tel: 612-331-1845
Fax: 612-378-4936
Email: dept-iam-medical-records@fairview.org