• Welcome
    • About Our Clinic
    • Practitioners
    • Patient Comments
    • News and Video
  • Contact Us
  • Patient Info
  • Pricing
  • Schedule Appointment
    • Privacy/HIPAA and Release of Med Records
  • Locations
    • Plymouth
Toggle navigation

© 2007 Minnesota Community Acupuncture

Privacy and Release of Med Records


Our intake form is electronic. If you have never been seen at our clinic you will need to complete our new patient intake so please arrive ten minutes before your appointment to complete this form in the office.



  • Below you can find our complete Notice of Privacy Practices.





  • If you need to have us send a copy of your medical forms to you or another party please print, complete, sign this form, and deliver to our office. We cannot release medical forms without a release.




 Notice of Privacy Practices
 Release of Medical Records