Online Forms

We offer our paperwork on line so you can complete it in the convenience of your own home. 

Health History

 New Patient Intake Form

 Child Intake Form

Free AdobeReader®

Each form is a PDF document file.  If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.

Insurance

Team Health Care Clinic accepts and bills for all types of insurance; however, we are not in network for all insurers. Our clinic offers many new and innovative treatments for a variety of conditions, and some networks won’t allow us to be a provider and continue to offer these services to patients. Many of our patients come to Team Health Care for the very reason that we have such a unique and broad range of services. Therefore, we have chosen not to drop those services in order to be a part of the more restrictive networks. The benefit ultimately, is to the patient, as patients have access to treatments they otherwise would not be offered in the network.

We recommend you call the clinic at 763-323-1492 to find out more about your specific coverage. One of our insurance specialists will take your information, so please have your card ready, and contact your provider to verify your coverage. Our specialist will then contact you and let you know what type of benefits you have for each of the providers at our clinic. Many patients find this service helpful, so we encourage you to contact us with any questions.

Team Health Care Clinic | Phone: (763) 323-1492
12217 Champlin Drive, Champlin, MN