Client ​FORMS

Forms for all services, except for the Vision Clinic, can be found in our new medical record system. Click the button to access the RainTree Patient Dashboard. If dashboard page doesn't load, please try refreshing the page.
*Clients have multiple options to pay their bills. You may pay for individual services through the RainTree Portal, request monthly statements be sent to you via text or email, or be mailed a physical copy of your statement and pay with a check or card. For questions related to setup or billing, please call (612) 789-1236 or email [email protected].

RainTree FAQ
Below you will find additional clinic forms that are not currently available in the RainTree Dashboard. Please consult our client support staff regarding which forms are required for you. All forms can be filled out online, but it you prefer, we can provide hard copies that can be filled out and submitted in-person or via fax. A Chance To Grow's fax line is (612) 746-5144. 
For questions regarding client forms, please contact us by calling (612) 789-1236 or email [email protected]. 

Additional Forms
Authorization for Access, Release and Use of Educational Information

Authorization for Access, Release and Use of Medical Information
​
Insurance and Identification Card Upload
​If you have new insurance or received a new insurance card, please take a photo using the tools in this form to upload your updated insurance card and state ID. 

Client ​FORMS

Ready to get started?

Ingreso de Clientes Menores
Ingreso de Clientes Adultos
Forms for all services, except for the Vision Clinic, can be found in our new medical record system. Click the button to access the RainTree Patient Dashboard. If dashboard page doesn't load, please try refreshing the page.
*Clients have multiple options to pay their bills. You may pay for individual services through the RainTree Portal, request monthly statements be sent to you via text or email, or be mailed a physical copy of your statement and pay with a check or card. For questions related to setup or billing, please call (612) 789-1236 or email [email protected].

RainTree FAQ

Below you will find additional clinic forms that are not currently available in the RainTree Dashboard. Please consult our client support staff regarding which forms are required for you. All forms can be filled out online, but it you prefer, we can provide hard copies that can be filled out and submitted in-person or via fax. A Chance To Grow's fax line is (612) 746-5144. 
For questions regarding forms, contact us at (612) 789-1236 or email [email protected]. 

Vision Clinic
Annual Health & Vision Health History

Consent Forms

Formularios de la Clínica de la Vista
​Aviso de Prácticas de Privacidad de HIPAA, Autorización Basada en Seguros y Consentimiento para Tratar

Historial Anual de Salud y Salud de la Vista​

Additional Forms
Authorization for Access, Release and Use of Educational Information

Authorization for Access, Release and Use of Medical Information
​
Insurance and Identification Card Upload
​If you have new insurance or received a new insurance card, please take a photo using the tools in this form to upload your updated insurance card and state ID.