Patient Forms
Below are commonly used forms
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
- (651) 290-9200
- info@opencitieshealth.org
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
Health Services
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.