Rise Up Health Clinics provides no-cost health services to all children who attend St. Paul City School.

 

Location: 215 University Ave W, St Paul, MN 55103

 

Questions? MobileSBHC@RiseUpHealthClinics.org

 

A parent or legal guardian must attend a sports physical or wellness exam appointment with the patient. 

If the student needs a sports physical, please complete the sports physical form and bring it to your appointment. Sports Physicals are good for three school years from the exam date. These forms are also available in the St. Paul City School Office.

Sports Physical Form

English

Spanish

Hmong

Somali

A parent or legal guardian must attend a sports physical or wellness exam appointment with the patient. 

If the student needs a sports physical, please complete the sports physical form and bring it to your appointment. Sports Physicals are good for three school years from the exam date. These forms are also available in the St. Paul City School Office.

Sports Physical Form

English

Spanish

Hmong

Somali

Insurance

Our goal is to offer low and no-cost healthcare services in the district. Services are provided at low to no-cost to families whether or not a student has insurance. Health insurance will be billed to help cover the costs of your child’s visit whenever possible.

You will not receive a bill from the clinic. You may, however, receive an Explanation of Benefits (EOB) from your insurance company after your clinic visit that outlines costs not covered by your insurance. (if you receive a bill from your health insurance, please contact us for assistance).If you choose to, you may pay or donate the EOB amount to the clinic.

 

All children are able to receive health care services in the clinic regardless of their ability to pay or their health insurance status.

By signing this form, you agree to the following:

• I authorize Rise Up Health Clinics and its staff to provide necessary examinations, treatments, procedures, and care as deemed appropriate by the healthcare providers.
• I have the right to refuse or discontinue treatment or care at any time. However, I acknowledge that doing so may have potential risks or consequences, which your healthcare provider will explain.
• If I have any questions about the care provided, I will ask the healthcare provider.
• I consent to receive communications from the clinic, including appointment reminders, follow-up calls, and billing inquiries.
• Rise Up Health Clinics may use student health records to evaluate the quality of care and program effectiveness.
• The patient's school may give class schedule and immunization information to Rise Up Health Clinics only when necessary to provide patient care.
• Rise Up Health Clinics may share immunization information only with the patient's school. 
• Immunization information may be shared through the Minnesota Immunization Information Connection (MIIC) with healthcare providers, schools, health departments, and others authorized under law to receive it.
• If receiving COVID-19 or other communicable disease testing, I acknowledge that the results are required by law to be sent to the Minnesota Department of Health for reporting.
• I acknowledge that a copy of the Notice of Privacy Practices and the Patients’ Rights and Responsibilities document has been made available to me (see final screen after signature and clinic website). 
• I understand that Rise Up Health Clinics will bill my health insurance directly for services rendered. I agree to provide accurate and complete insurance information and notify the clinic of any changes to my insurance coverage.
• I understand that if I am able to, I can pay any copays or deductibles to the clinic. I understand that the patient will be able to receive health care services in the clinic regardless of my ability to pay or my health insurance status.