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Online Forms

Thank you for choosing us! We look forward to seeing you. Please complete your paperwork now so we are ready for your visit.

Why now?

  • No clipboard, no long waiting room forms
  • Dr. McCulley can review your history in advance
  • A smoother, more personalized experience from the moment you walk in

Insurance made easy

We’ll need a copy of your insurance card when you arrive or simply text a photo of the front and back to 701-373-2020 and we’ll take care of the rest.

*Please note: If your paperwork isn’t completed before your appointment, we ask that you arrive 15 minutes early to complete it in the office.

Questions? Call us at 701-373-2020. We’re happy to help.

Adult New Patient History Form
Pediatric New Patient History Form
Adult New Patient History Form
Pediatric New Patient History Form