Established Patients

1) Request Medication Refills

2) Request an Appointment

    New Patients

Below are the forms we use for our new patients. Please read the “welcome
letter” first. You can print and complete the forms and bring them with you to your
first appointment, or you can complete them on your computer and fax them to
208.939.4411

1) Welcome Letter

2) Office Polices

3) New Patient Checklist

4) Patient Registration Form

5) Past Medical History

6) Irrevocable Assignment of Benefits

7) Map and Directions to Our Office

8) Contract For Controlled Substance Prescriptions

This page contains links to forms for our patients. The forms are in Adobe PDF format and can be viewed and printed from your computer. You will need the Adobe Reader to view the forms. If you don't have it, you can download it free.

◄ click to download the latest version of      Adobe Reader.