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Minnesota State University, Mankato

Minnesota State University, Mankato
Student Health Services

Patient Health History / Payment Authorization

Page address: https://www.mnsu.edu/shs/patienthealthhistoryform.html

 

To expedite your check in process please fill in and print out the Patient Health History Form / Payment Authorization Form before your appointment.

Bring this completed form with you to your appointment.

For further information please call: 507-389-6276.