Clinic - 1900 CentraCare Circle,
Suite 1300, St. Cloud, MN 56303
As part of our Medical Home care coordination, we would greatly appreciate it if you could BRIEFLY outline your findings and concerns today, as well as your plan. If there are specific future labs you need from us, please include those. This is not meant to replace your letter to us, but to assist in getting pertinent information to us more quickly. Thank you so much for your help!
Today’s concern and findings:
Please print this page and fax to (please circle health care provider name) at 320-654-3602.
| Debra Berglund, C.P.N.P.
|| Jeffrey Humbert, M.D.
| Christopher Brown, D.O.
|| Janelle Johnson, M.D.
| Jon Dennis, M.D.
|| Wendi Johnson, M.D.
|William Hicks, M.D.
|| Mary Keating, M.D.
| Weining Hu, M.D.
|| Minto Porter, M.D.
If you have
questions or concerns about this
form, please call 320-654-3686.