Request Appointment

If you would like to request an appointment at our hospital, please fill out and submit the form below, or call us at 763-441-4000. Please note that this is only a request, someone from our office will contact you shortly to confirm a date and time for your appointment. If your matter is URGENT, or you feel you are experiencing an EMERGENCY, please call us immediately at 763-441-4000 and DO NOT use the form below. Please Note: Your request may take up to 24 hours for a response.

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