• About Us
  • Conditions Treated
  • Preparing for Your Visit
    • Preparing for Your Office Visit
    • Preparing for your Telehealth Appointment
    • Preparing for Surgery
    • Healow App + Patient Portal
    • e-Visits
  • Office Policies
  • Forms
  • Patient Education
  • Locations
  • Contact Us

New Patient Forms

If you are a new patient, please print and fill out the the following required forms and bring them to your appointment. If you have any questions, call us at 612-813-8000 (option 3).

HIPAA and Credit Policy

Patient Information Form

Patient Intake Form**

**If you have a patient portal account, fill out the patient intake form on patient portal.


Pediatric Surgical Associates





Additional Resources

Children's Hospitals and Clinics of Minnesota
American Urological Association
American Pediatric Surgical Association
American Academy of Pediatrics
Midwest Fetal Care Center
Gillette Children's Specialty Healthcare
Regions Hospital
Twin Cities Shriners Hospital
APSA Parent and Family Resource Center
Urology Care Foundation Patient Education
Contact Us
612-813-8000
© Pediatric Surgical Associates