Home
Services
Providers
Internal Medicine
Pediatric & Adolescent Medicine
Dermatology
Rheumatology
Gynecology
Patient Information
Your Visit
Insurance
Payment & Billing
Prescription Refills
Forms & Resources
COVID-19
Contact Us
Past Records
MyChart
Bill Pay

ima Healthcare

Home
Services
Providers
Internal Medicine
Pediatric & Adolescent Medicine
Dermatology
Rheumatology
Gynecology
Patient Information
Your Visit
Insurance
Payment & Billing
Prescription Refills
Forms & Resources
COVID-19
Contact Us
Past Records
MyChart
Bill Pay
  • Patient Information
  • Your Visit
  • Insurance
  • Payment & Billing
  • Prescription Refills
  • Forms & Resources
  • COVID-19

Forms

Prior to your first visit, please review the following:

New Patient Information

Release of Information

Medical Information Release

Authorization for Disclosure

Fasting Lab Instructions

Financial Policy

HIPAA Privacy Practices

MyChart Proxy Forms:

MyChart Adult

MyChart Children 0-11

MyChart Children 12-17

Resources:

Acetaminophen Ibuprofen Dosing Chart

Medications for Cough/Colds while Breastfeeding

 
Back to Top
Doc Show
Tele-Health Directory
Careers
Patient Forms
ima Doctors Show Archive
Resources
Blog News
ima Healthcare, 4450 31st Ave South, Suite 102, Fargo, ND, 58104, United States(701) 280-2033info@imahealthcare.com

HOURS: Monday - Thursday, 7am - 5pm • Friday, 7am - 1:30pm