For your convenience, we are making frequently used patient forms available online. Select the form you need from the list below. Completed forms can be mailed to Mid Dakota Clinic, Attn: Director of Patient Intake, PO Box 5538, Bismarck, ND 58506 or dropped off at the main clinic at 401 N. 9th Street. All forms are in Adobe Acrobat and require the Adobe Reader which can be downloaded here. General Patient Information Authorization for Release of Information to Family Authorization for Release of Patient Information Patient Information Record
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