Click links below to download each form:
Note to New Patients
Please read before your first appointment at our office.
Print, sign, & bring with you on your visit to our office.
Print and complete form for consent to medical and/or surgical treatment.
Print, complete, & bring with you on your first appointment at our office.
Print, complete, & bring with you on your first appointment at our office.
Print and complete HIPAA form to request a restriction on uses and disclosure of your protected health information.
Print and complete form for authorization to disclose medical information for further health care.


MN Angels Clinic
4405 N. Holland-Sylvania Rd.
Toledo, OH 43623
MN ANGELS CLINIC
COPYRIGHT © 2005-
ALL RIGHTS RESERVED
Terms of Use
Please read these terms carefully. If you proceed to use this website you agree to abide by these rules. MN Angels Clinic reserves the right to make additions, deletions, or modifications to the information on this website at any time without prior notification. The content and information on this website could contain inaccuracies, typographical errors, or other types of errors. While we strive to provide accurate information, we make no guarantee that inaccuracies may exist.

TO THE EXTENT PERMITTED BY LAW, THE PRODUCTS AND INFORMATION ON THIS WEBSITE ARE PROVIDED "AS IS" AND WITHOUT WARRANTY AND ALL WARRANTIES OF ANY KIND EITHER EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, OR NON-INFRINGEMENT, ARE HERBY DISCLAIMED AND WAIVED. MN ANGELS CLINIC WILL NOT BE LIABLE FOR ANY DAMAGES OF ANY KIND ARISING FROM THE USE OF THIS WEBSITE, INCLUDING, BUT NOT LIMITED TO DIRECT, INDIRECT, INCIDENTAL, PUNITIVE, AND CONSEQUENTIAL DAMAGES.

Various logos, trademarks, or images used on this website are the property of MN Angels Clinic or our associated companies/organizations. Visitors are not permitted to use these logos, trademarks, or images without the prior written consent of MN Angels Clinic or the party that owns the respective logo/trademark/images.

This website contains links to other websites. MN Angels Clinic is not responsible for the accuracy or reliability of any information, advice, data, opinions, or statements found on these websites.

Privacy Policy

MN Angels Clinic is committed to respecting the privacy of our website visitors. Any data which you provide us is not shared with third parties unless required by law. Personally identifiable information will not be sold, rented, or exchanged with any other organization or entity unless you are first notified and expressly agree to it.

Disclaimer
The health care information contained in this web site is not intended as medical advice or a substitute for consulting your healthcare practitioner. Any attempt to diagnose and treat an illness using the information in this site should come under the direction of a qualified healthcare practitioner who is familiar with this healthcare information. You should consult a health care professional should the need for one be indicated. Use of the information on this website should not be a substitute for professional advice, and / or consultation with a licensed health care professional. Do not use this information to attempt treatment of serious ailments, health conditions, or injuries without the advice of your doctor. No medical claims are warranted, or implied by the use of information found on this website. MN Angels Clinic will not be held liable for misuse of this website in any attempted medical treatment.


 
 
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MN Angels Clinic © 2005-
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