To submit a Questionnaire or form, either fax to one of the clinic numbers below, or scan and email to info@tcohr.com

Mendota Heights Clinic Fax:  (651) 224-8265

Blaine Clinic Fax: (763) 780-8274

DOWNLOAD CLINIC BROCHURE

Employer Referral & Authorization Form

Respirator Authorization Form

Respirator Questionnaire

Medical Information Release Form

Hepatitis B Vaccine Consent Form

Hepatitis B Vaccine Info Sheet

Insulin-Dependent Diabetic Waiver MN DOT