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Mankato Clinic Foundation
Request an Appointment
Request an Appointment
Use this form to request a future appointment with a Mankato Clinic healthcare provider. A scheduler will contact you within two business days to complete the scheduling process with you and book your appointment.
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Patient Information
Is this for a new patient to the Mankato Clinic?
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Patient Name
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Patient Date of Birth
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This information helps us locate or establish patient records.
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Patient Sex
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Patient Address
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Who is completing this request form?
*
Understanding the relationship between the patient and the person filling out this request form will help us follow up within privacy requirements.
Patient (for myself)
Parent / Guardian (for my child or dependent)
Other
Contact Information
We respond to appointment requests Monday-Friday between 7am and 5pm. Please provide contact information where we can follow up with you during this period to finish scheduling your appointment.
Primary Phone Number
*
Alternate Phone Number
Email Address
Appointment Details
Please let us know more about the type of appointment you are looking for.
I would like to schedule for
*
a Speciality
a Location
a specific Mankato Clinic provider
an Annual Preventive Visit
Speciality
*
Please select the specialty department you'd like to schedule with
Allergy-Wickersham-Mankato
Cardiology-Main Street-Mankato
Colon and Rectal Surgery-Main Street-Mankato
Dermatology-Madison East-Mankato
Dermatology-River's Edge Campus-St Peter
Diabetes Care Center-Main Street-Mankato
Ear Nose and Throat-Wickersham-Mankato
Eye Care Center-Wickersham-Mankato
Family Medicine-Daniels-St Peter
Family Medicine-Main Street-Mankato
Family Medicine-Mapleton
Family Medicine-North Mankato
Family Medicine-Wickersham-Mankato
Foot and Ankle-Daniels-St Peter
Foot and Ankle-Wickersham-Mankato
Gastroenterology-Children's Health Center-Mankato
Gastroenterology-Main Street Mankato
General Surgery-Main Street-Mankato
Fertility-Main Street-Mankato
Internal Medicine-Main Street-Mankato
Hearing Care Center-Wickersham-Mankato
Medication Therapy Management-Main Street-Mankato
Nephrology-Main Street-Mankato
Neurology-Main Street-Mankato
Nutrition Education-Main Street-Mankato
Obstetrics and Gynecology-Main Street-Mankato
Occupational Medicine-Adams Street-Mankato
Occupational Therapy-Main Street-Mankato
Occupational Therapy-Pediatric Therapy Services-Mankato
Oncology-Main Street-Mankato
Pain Management Center-Madison East Center-Mankato
Pediatrics-Children's Health Center-Mankato
Pediatrics-Daniels- St Peter
Physical Therapy-Daniels-St Peter
Physical Therapy-Main Street Mankato
Physical Therapy-Pediatric Therapy Services-Mankato
Psychiatry-Children's Health Center-Mankato
Psychiatry-Madison East-Mankato
Psychology-Children's Health Center-Mankato
Psychology-Daniels-St Peter
Psychology-Madison East-Mankato
Speech Language Therapy-Main Street-Mankato
Speech Language Therapy-Pediatric Therapy Services-Mankato
Sports Medicine-Main Street-Mankato
Urology-Wickersham-Mankato
Wound and Ostomy Care-Main Street-Mankato
Location
*
Please select the location you'd like for this appointment
Children's Health Center Mankato
Daniels Health Center St. Peter
Dermatology Madison East Center
Dermatology River's Edge Campus
J. Scott Sanders Center for Sleep Medicine
Endoscopy Center
Main Street Mankato
Mapleton Family Medicine
North Mankato Family Medicine
Pain Management Center
Pediatric Therapy Services
Psychiatry and Psychology Madison East Center
Occupational Medicine
Urgent Care Main Street
Wickersham Health Campus Mankato
Provider
*
Please select the provider you would like to schedule with.
Aho Kimberly MD (Neurology @ Main Street)
Alkurdy Nidal MD (Neurology @ Main Street)
Altmann Tracy AuD (Hearing Care Center @ Wickersham Health Campus)
Anderson Craig MD (Pediatrics @ Childrens Health Center)
Anderson Dan MD (North Mankato Family Medicine)
Anyadioha Ifechi MD (Pain Management Center @ Madison East Center)
Ardner Heather PT DPT (Physical Therapy @ Pediatric Therapy Services)
Bach Margie APRN CNP (Nephrology @ Main Street)
Baerg Caroline MD (Main Street Family Medicine)
Baldwin Brett DO (Ear Nose and Throat @ Wickersham Health Campus)
Bandelin Paul DO (Dermatology @ Rivers Edge)
Barlament Abby MSW LICSW (Family Medicine @ Wickersham Health Campus)
Barnacle Scott MD (Obstetrics and Gynecology @ Main Street)
Beavis Sue APRN DNP CNM (Obstetrics and Gynecology @ Main Street)
Becker Amber SLPA (Speech Language Therapy @ Pediatric Therapy Services)
Benson John MD (Family Medicine @ Wickersham Health Campus)
Benzmiller James MD (Dermatology @ Madison East Center)
Berger Jeremy MD (General Surgery @ Main Street)
Bianchi-Olson Susan APRN CNP (Gastroenterology @ Main Street)
Blume Stephanie MS CCC SLP (Speech Language Therapy @ Pediatric Therapy Services)
Breit Leah MD (North Mankato Family Medicine)
Bryan Kelly DO (Pediatrics @ Childrens Health Center)
Burton Cassy APRN CNP PMHNP-BC (Psychiatry @ Madison East Center)
Carlson Heather DO (Obstetrics and Gynecology @ Main Street)
Carns Matthew MD (Gastroenterology @ Main Street)
Chen Pauline DO (Eye Care Center @ Wickersham Health Campus)
Choiniere Natasha PT DPT (Physical Therapy @ Main Street)
Christiansen Timothy MD (Ear Nose and Throat @ Wickersham Health Campus)
Corrow Rebecca DNP APRN CNP (Internal Medicine @ Main Street)
Dahline Ashley PAC (Obstetrics and Gynecology @ Main Street)
Danylkova Nataliya MD (Eye Care Center @ Wickersham Health Campus)
Davidson Lisa MD (Neurology @ Main Street)
Davis Cathy MD (Dermatology @ Madison East Center)
Davis Donald MD (Dermatology @ Madison East Center)
Deehr Amy DO (Pediatrics @ Childrens Health Center)
Denke Tara MD (Obstetrics and Gynecology @ Main Street)
Denn Jessica PT DPT (Physical Therapy @ Main Street)
Devineni Suresh MD (Oncology @ Main Street)
Dexter Ben MD (Pediatrics @ Childrens Health Center)
Dexter Lindsay PT DPT (Physical Therapy @ Pediatric Therapy Services)
Dobie Sagan PAC (North Mankato Family Medicine)
Dubbelde Crystal MSW LICSW (Psychology @ Madison East Center)
Duncan Brittany APRN CNP WHNP (Obstetrics and Gynecology @ Main Street)
Dungan James MD (Occupational Medicine @ Adams)
Ellison Holly RD LD (Diabetes Care Center @ Main Street)
Erickson Samanatha MA CCC CLP (Speech Language Therapy @ Pediatric Therapy Services)
Evers Elizabeth PAC (Cardiology @ Main Street)
Evers Nathan PharmD (Diabetes Care Center @ Main Street)
Evers Nathan PharmD (Medication Therapy Management @ Main Street)
Finn Kendra DO (Family Medicine @ Daniels Health Center - St Peter)
Finn Thomas DO (Sports Medicine @ Main Street)
Fischbach Nicole APRN CNP FNP (Wickersham Family Medicine)
Fraley Michael MD (Main Street Family Medicine)
Freyberg Julie APRN CNP FNP (Wound Care @ Main Street)
Gazzola Robert MD (Family Medicine @ Daniels Health Center - St Peter)
Goerish Carla MD (Obstetrics and Gynecology @ Main Street)
Goldberg Gary MD (Urology @ Wickersham Health Campus)
Gonzalez Erin RD LD (Nutrition Education @ Main Street)
Graham Nathaniel OD (Eye Care Center @ Wickersham Health Campus)
Gustafson Lynn DPM (Foot and Ankle @ Wickersham Health Campus)
Gustafson Patty MS LP (Psychology @ Madison East Center)
Hansen Karen PAC (Pain Management Center @ Madison East Cetner)
Hansen Travis MD (Psychiatry @ Madison East Center)
Hartig Hope APRN CNP CDCES (Diabetes Care Center @ Main Street)
Heiling Alisa MOTRL (Occupational Therapy @ Pediatric Therapy Services)
Heiling Alisa MOTRL (Occupational Therapy Adult @ Main Street)
Heun Mitchell MD (Family Medicine @ Wickersham Health Campus)
Holland Kelly MSW LICSW (Psychology @ Madison East Center)
Huisken Timothy MD (Surgery @ Main Street)
Jacobs Darcie PsyD LP (Psychology @ Madison East Center)
Jacobson Jill MA OTRL (Occupational Therapy @ Pediatric Therapy Services)
Jilek Marlene APRN CNP PNP (Pediatrics @ Childrens Health Center)
Johanson Anna MSW LICSW (Psychology @ Madison East Center)
Kanwar Manpreet MD (Cardiology @ Main Street)
Keepers Katie MD (Obstetrics and Gynecology @ Main Street)
Knoll-Fleming Beth MS CCC SLP (Speech Language Therapy @ Pediatric Therapy Services)
Knoll-Fleming Beth MS CCC SLP (Speech Language Therapy Adult @ Main Street)
Kurth Katherine APRN CNP (Internal Medicine @ Main Street)
Landgraff Elizabeth MS CCC SLP (Speech Language Therapy @ Pediatric Therapy Services)
Larson Robert MD (Diabetes Care Center @ Main Street)
Lawrence Jessica PT DPT (Physical Therapy @ Main Street)
Lehne Kristin PT (Physical Therapy @ Pediatric Therapy Services)
Linder Megan PT DPT (Physical Therapy @ Main Street)
Lingen Kristin PT Dpt (Physical Therapy @ Daniels Health Center - St Peter)
Lingen Kristin PT DPT (Physical Therapy @ Main Street)
Litsheim Stephanie APRN DNP PMHNP-BC (Psychiatry @ Madison East Center)
Ludwigs Faith APRN CNP (Dermatology @ Madison East Center)
Ludwigs Faith APRN CNP (Dermatology @ Rivers Edge)
Lundquist Andrew DPM (Daniels Foot and Ankle)
Maertens Nevada MS CCC SLP (Speech Language Therapy @ Pediatric Therapy Services)
Maertens Nevada MS CCC SLP (Speech Language Therapy Adult @ Main Street)
Magness Danielle DO (Psychiatry @ Madison East Center)
Mattson Travis PT DPT (Physical Therapy @ Main Street)
Meehan Tami PT DPT (Physical Therapy @ Main Street)
Meyer Connie MSW LISCW (Psychology @ Daniels Health Center - St Peter)
Meyer Connie MSW LISCW (Psychology @ Madison East Center)
Meyer Laura APRN CNP (Neurology @ Main Street)
Miller Andrew MD (North Mankato Family Medicine)
Mork Lindsey PT DPT (Physical Therapy @ Pediatric Therapy Services)
Much Michael PT DPT (Physical Therapy @ Main Street)
Muchiri Michael APRN CNP (Pain Management Center @ Madison East Center)
Nack James DPM (Foot and Ankle @ Wickersham Health Campus)
Nelson Nancy MD (Pediatrics @ Daniels Health Center - St Peter)
Nienow Jacob PT DPT (Physical Therapy @ Main Street)
Nuetzman Ashley RDN LD (Nutrition Education @ Main Street)
Olson Robert MD (Psychiatry @ Madison East Center)
Omtvedt Julia AuD CCCA (Hearing Care Center @ Wickersham Health Campus)
Orcutt David MD (Colon and Rectal Surgery @ Main Street)
Otteson Paul PAC (Dermatology @ Madison East Center)
Peller Richard MD (Family Medicine @ Wickersham Health Campus)
Peller Susan APRN CNP (Main Street Family Medicine)
Peterson Steven MS LP (Psychology @ Madison East Center)
Pfarr Lindsey MS OTR/L (Occupational Therapy @ Pediatric Therapy Services)
Potter Emily APRN CNP FPN (Nephrology @ Main Street)
Pucik Bryan MD (Main Street Family Medicine)
Pucik Bryan MD (Mapleton Family Medicine)
Ramanuja Srinivasan MD (Allergy @ Wickersham Health Campus)
Rasmussen Leah APRN CNP DNP (Neurology @ Main Street)
Ray Bithika MD (Internal Medicine @ Main Street)
Regnier Stacy PAC (Cardiology @ Main Street)
Roos Karl MD (Nephrology @ Main Street)
Ruschmeyer Sheila MD (Pediatrics @ Childrens Health Center)
Sathoff Edward MD (Psychiatry @ Madison East Center)
Scharfe Amanda MS CCC SLP (Speech Language Therapy @ Pediatric Therapy Services)
Schauer Dar PAC (Mapleton Family Medicine)
Schilling Deb PAC (North Mankato Family Medicine)
Schultz Amanda MA OTRL (Occupational Therapy @ Pediatric Therapy Services)
Scott Angie MS CCC SLP (Speech Language Therapy @ Childrens Health Center)
Scott Angie MS CCC SLP (Speech Language Therapy @ Pediatric Therapy Services)
Senal Amanda MOTRL (Occupational Therapy @ Pediatric Therapy Services)
Sieberg Sara MS OTRL (Occupational Therapy @ Pediatric Therapy Services)
Smentek Katie MD (Pediatrics @ Childrens Health Center)
Soost Karie PAC (Internal Medicine @ Main Street)
Sorensen Amy Jo DO (North Mankato Family Medicine)
Spieker Sreelatha MD (Psychiatry @ Madison East Center)
Stadtherr Joni MSW LICSW (Psychology @ Madison East Center)
Stehr Heather APRN CNP FNP (Family Medicine @ Wickersham Health Campus)
Stitt Alyssa MD (Main Street Family Medicine)
Stormont Gavin MD (Urology @ Wickersham Health Campus)
Storvick Eric MD (Internal Medicine @ Main Street)
Stroup Abby PT DPT (Physical Therapy @ Pediatric Therapy Services)
Sullivan Kara MD (Gastroenterology @ Childrens Health Center)
Sullivan Kara MD (Gastroenterology @ Main Street)
Swanson Katie PT DPT (Physical Therapy @ Main Street)
Swanson Penny MD (Eye Care Center @ Wickersham Health Campus)
Taylor Mark MD (Obstetrics and Gynecology @ Main Street)
Thompson Emily MSW LICSW (Family Medicine @ Main Street)
Thompson Katie DO (Family Medicine @ Main Street)
Thorson Ashley MD (Obstetrics and Gynecology @ Main Street)
Turner Lindsay MS OTRL (Occupational Therapy @ Pediatric Therapy Services)
Tursich Mischa PhD LP (Psychology @ Madison East Center)
VanRavenhorst Mary MOTRL (Occupational Therapy @ Pediatric Therapy Services)
VanRavenhorst Mary MOTRL (Occupational Therapy Adult @ Main Street)
Vermeire McKenzie PT DPT (Physical Therapy @ Pediatric Therapy Services)
Weerts Colin DO (Wickersham Family Medicine)
Weideman Jeff PAC (Dermatology @ Rivers Edge)
White Wendy PT DPT (Physical Therapy @ Pediatric Therapy Services)
Willliams Brian MD (Pediatrics @ Childrens Health Center)
Wojtalewicz Katie PsyD LP (Psychology @ Madison East Center)
Wolf Shelby PhD LP (Psychology @ Madison East Center)
Wrage Darla MD (Pediatrics @ Childrens Health Center)
Reason for Requesting an Appointment
*
Please provide some general information about what you'd like to address with the provider in this appointment.
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Perferred Appointment Day(s)
Please indicate your preferred scheduling day. (Please check all that apply)
No Preference
Monday
Tuesday
Wednesday
Thursday
Friday
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Preferred Time of Day
Please indicate which times of day work best for you for your scheduling needs. (Please check all that apply)
No Preference
Early Morning
Late Morning
Early Afternoon
Late Afternoon
Name
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