Patient Forms

Below are commonly used forms

Medical Release of Information
Telehealth Consent

INFORMED CONSENT CHECKLIST FOR TELEHEALTH/TELEMEDICINE SERVICES
Telehealth involves the use of electronic communication through telephone call or videoconferencing to enable patients to have access to health care providers who are at a different location for the purpose of improving patient care. Telehealth is also a means by which providers can collect information, educate, and consult with colleagues regarding patient care in order to provide best health services. Information exchanged may be used for diagnosis, therapy, follow up, and may include medical information, medical images, and audiovisual material. Electronic systems will incorporate network and software security to protect the confidentiality of patient information and safeguard data.

Schedule Appointment

Medical, Dental, Eye and Chiropractic (651) 290-9200
Behavioral Health (651) 251-5959
Billing questions (651) 251-8638

Locations & Clinic Hours

DUNLAP CLINIC
409 North Dunlap St. St. Paul, MN 55104
MWTHF: 8am – 5pm
Tuesdays: 8am – 8pm

NORTH END CLINIC
916 Rice St. St. Paul, MN 55117
Monday – Friday: 8am – 5pm

Medical Records

Fax: (651) 290-9201
Click here to download form for requesting medical records.

Contact Us

Note: 

Not for Scheduling requests.

no para solicitudes de programacion.

Your health is important to us 24 hours a day.

For after hours service call (651) 290-9200

*Please note, you will be routed to an after hours triage service*

SOMALI
Wixii adeeg saacadaha ka dambeeya wac

HMONG
Thaum peb lub Clinic kaw lawm, nej hu rau tus xov tooj no.

SPANISH
Para servicio despues de horas de llamada

Open Cities Health Center

We’re here to help you live your healthiest, happiest life.
Dunlap Clinic

409 North Dunlap St.
St. Paul, MN 55104

HOURS
MWTHF: 8am – 5pm
Tuesdays: 8am – 8pm

North End Clinic

916 Rice St.
St. Paul, MN 55117

HOURS
Monday – Friday: 8am – 5pm

About Us

Open Cities Health Center is a FTCA deemed Facility.

This health center receives HHS funding and has Federal PHS deemed status with respect to certain health or health-related claims, including medical malpractice claims, for itself and its covered individuals.

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