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new patients

COMPLETE FORMS BELOW

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Request an appointment below and we'll get you set up with your Patient Portal.

You will need to upload your insurance and credit card information (for co-pays) and fill out the necessary forms for insurance billing. Then you can access our convenient self-scheduling feature. Please allow the billing department up to five business days to ensure that all paperwork is thoroughly processed before scheduling your new visit.

PLEASE NOTE:   Your appointment will not be valid until all forms, insurance, and credit card for co-pays are processed.

QUESTIONS?  Call our billing office at 612-886-6112, or the Miles Med Management number, 612-708-7562.

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Phone: 612-886-6112

Mobile: 612-237-9238

Fax:   949-258-0567

www.ptpmn.org

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