Forms - Alexandria Clinic, P.A.



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		2009 Flu Facts Authorization for Disclosure of Patient Health Information Form Employment Application Parents authorization for another adult to bring their child in for medical care Parents authorization for child to come alone for medical care Understanding Health Maintenance Physicals


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	Alexandria Clinic, P.A. 610 30th Avenue West Alexandria, MN 56308 (320) 763-5123 or 1-800-646-4220	Osakis Medical Clinic 811 3rd Avenue East Osakis, MN 56360 (320) 859-3038 or 1-800-989-3038
	This site is intended for general information and is not a substitute for medical advice from a qualified professional. Copyright 2008 Alexandria Clinic, P.A. This page was last updated November, 2009.