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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?*
Patient Name*
Patient Date of Birth*
This information helps us locate or establish patient records.
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Patient Sex*
This selection helps us locate or establish patient records.
Patient Address*
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.

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.

Appointment Details

Please let us know more about the type of appointment you are looking for.
I would like to schedule for*
Please select the specialty department you'd like to schedule with
Please select the location you'd like for this appointment
Please select the provider you would like to schedule with.
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)
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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)
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1230 East Main Street
Mankato, MN 56001

1-800-657-6944

Mankato Clinic
24-Hour RN Healthline: 1-877-222-7530
Call 1-507-625-1811
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