Forms
Patient Registration
New Patient Registration Form
Download and print. Scan and email directly to info@opencitieshealth.org or bring to your first visit.
Financial Assistance
Your Privacy & Rights
Notice of Privacy Practices (English)
Minnesota Patients’ Bill of Rights
Consent Forms
Consent Form to Release Health Information
Referral Forms
Behavioral Health Forms
Adult Behavioral Health Questionnaire
TO SCHEDULE AN APPOINTMENT
CALL (651) 290-9200
Concerned about cost? We have a sliding fee, and will find a way to work with you, regardless of your ability to pay. View our uninsured options. If you need of an interpreter they are available in any language upon request.

(651) 290-9200 | info@opencitieshealth.org
Dunlap Clinic
409 North Dunlap St., St. Paul, MN 55104
Hours: Monday-Friday: 8am-5pm
North End Clinic
916 Rice St., St. Paul, MN 55117
Hours: Monday-Friday: 8am-5pm
St. Paul City School – Wolves Clinic
215 University Ave W, St. Paul, MN 55103
Hours: Monday & Wednesday: 8am-5pm