General Inquiries Office Location:*Select an AddonAlexandria ClinicApple Valley ClinicBaxter/Brainerd ClinicBemidji ClinicBig Lake ClinicBlaine ClinicBloomington ClinicCambridge ClinicChaska ClinicCoon Rapids ClinicCottage Grove ClinicDuluth ClinicDuluth Mall ClinicEau Claire ClinicEden Prairie ClinicEdina ClinicHudson TownshipHugo ClinicHutchinson ClinicIowa City ClinicLa Crosse ClinicLakeville ClinicMankato ClinicMaple Grove ClinicMaplewood ClinicMendota Heights ClinicMinnetonka ClinicMoorhead ClinicNew Brighton ClinicNorth Liberty ClinicOtsego ClinicRed Wing ClinicRochester ClinicRoseville ClinicSartell/St. Cloud ClinicStillwater ClinicUnknownWoodbury Clinic(You must choose a location)General Inquiries:*Select an OptionSend a Message to a ProviderComments and ConcernsSUD TreatmentAll Other Inquiries(You must choose an option)Comments:*Name:* First Last Email Address:* Date of Birth:* MM slash DD slash YYYY Phone Number:*Name of Your Provider: First Last Name:* First Last Email Address:* Date of Birth:* MM slash DD slash YYYY Phone Number:*Comments & Concerns:*Name:* First Last Date of Birth:* MM slash DD slash YYYY Phone Number:*SUD Treatment:*Upload Document(s): Drop files here or Select files Max. file size: 300 MB. Phone Number:*All Other Inquiries:*NameThis field is for validation purposes and should be left unchanged.
