Identification

If you need to schedule an appointment, update contact information, or have any medical issues, please contact your institution at (952) 924-8671. Otherwise, please provide the following information so that we can help solve any patient portal or technical issues.

First Name
Last Name
Phone
Email
Appointment Date

Problem Feedback

Please provide your comments in the text area below.
Please be as specific as possible.

Problem

You may also upload a screenshot of the online problem you are having. Screenshots can be of any technical problem you are experiencing, such as: error messages, frozen screens, forms not loading completely, etc. Providing a screenshot may help further troubleshoot the technical problem.

Upload Image