You will be asked to complete paperwork before your appointment at IHB. You may download the forms below and fill them out in advance, or fill them out when you arrive for your appointment.


All Patients

Form to determine your financial eligibility for a service discount

MNsure Sliding Fee Application


Form to authorize us to share information with another provider

Release of Information


Medical and Dental

All new patients will need to complete these forms

New Patient Registration

Medical History


Counseling & Support

All new clients will need to complete these forms

Intake and Registration (adult)

Intake and Registration (child)