Clinic at Saint John's Campus

31802 Co Road 159
Collegeville, MN 56321

Saint John's Appointment Request

Please complete the form below to request an appointment at the clinic on the campus of Saint John's University. If you wish to make an appointment at any other location, please contact that clinic by phone at (320) 253-5220. For more information about the Saint John's clinic, call (320) 203-2430 or visit the website.
www.csbsju.edu/sjuhealthcenter

The information you enter is secure. We will contact you by phone or e-mail within one business day to confirm your requested appointment time. Please do not use this form in case of an emergency. In an emergency, please call 911.
 
Patient First Name
Patient Last Name
Reason for Visit
If the reason for your visit is not listed, please make an appointment by calling (320) 203-2430.
 
Birthdate
Email
Daytime Phone
Best Time to Reach You By Phone
Street Address
City
State
Zipcode
 
APPOINTMENT PREFERENCES
Day of the Week (Select all that apply): Any
Monday
Tuesday
Wednesday
Thursday
Friday
Time of Day (Select all that apply): Any
Early Morning (8-10 a.m.)
Late Morning (10-11:30 a.m.)
Early Afternoon (1-2:30 p.m.)
Late Afternoon (2:30-4 p.m.)
How soon would like you an appointment?
Insurance Plan Company
Insurance Plan No.
Insurance Group No.
Additional Information or Comments (Briefly describe symptoms and any medications taken):
How did you hear about online appointment requests?


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Free Child Care

HealthPartners Central Minnesota Clinics offers a convenient Healthy Kids Club that allows medical and dental patients to receive free child care during their appointments.

 

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Our Mission

The mission of HealthPartners Central Minnesota Clinics is to deliver personalized care, focused on improving the health and well being of each patient. Our Quality Initiatives reflect this as they focus on preventive medicine and the management of chronic health conditions.

 

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