New Patient Paperwork

Wellspring Health Center offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring them with you to your appointment.
  • Please arrive 20 minutes prior to your first appointment.

Below is a list of insurance plans we accept. If you do not see your insurance on this list or have questions about coverage, please contact us.

  • Medica Choice, Medica Passport, Medica Elect, Medica/Medicare, Medica/MA, Medica Essential, Medica MCHA, Medica Direct, Medica Dual Solution
  • Preferred One Administrative Services, Preferred One Community Health Plan, Preferred One PPO
  • Health Partners
  • Cigna
  • Select Care/Labor Care
  • Aetna
  • UnitedHealthcare
  • Patient Choice (in network on some plans - contact us for details)
  • Medicare (including Medicare Advantage Plans)
  • Minnesota MA
  • Blue Cross (in network on some plans - contact us for details)
  • Auto Insurance (100% coverage for auto-related injuries)
  • Workers Compensation (100% coverage for work-related injuries)


8:30am - 6:30pm

8:30am - 6:30pm

8:30am - 6:30pm *

8:30am - 6:30pm

8:30am - 1:00pm


 Patient Hours 2:00pm - 6:30pm

Wellspring Health Center
10903 Excelsior Boulevard
Hopkins, MN 55343
(952) 933-1150