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We offer our patient forms online so they can be completed in the convenience of your own home or office in an easy-to-download format from the links below:

  1. Download the necessary New Patient forms, print it out and fill in the required information.
  2. Read Dr. Conners, DC books (available as a free download below), and view the Videos on the on this website as well as appropriate pages concerning your condition.
  3. Fax us your printed and completed forms or bring it with you to your appointment.  Our fax number is: 651.264.9844
  4. Bring in any supplements, films, and lab work you may have.
  5. Understand, there is usually a $195 fee for your initial Consultation and though we may choose to assist you in billing it to your insurance, it is due and payable at the time of service.


New Patient Health History Forms and viewing New Patient Videos - ALL Required!

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!  His books and videos give you an understanding of our unique type of care.

New Patient Paperwork

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Click on the book covers above to download a FREE copy



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Contact

The Upper Room Wellness Center
1654 East County Road E
Vadnais Hts, MN 55110
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  • Phone: 651-739-1248
  • Fax: 651-264-9844
  • Email Us

Dr. Conners Books FREE

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Accreditations: 

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Integrative Cancer Therapies

Fellowship in Anti-Aging and Regenerative Medicine

Fellowship in Anti-Aging and Regenerative Medicine