New Patient Forms

Please print and complete forms and return to our office or fax back at 208-263-4580 24 hours prior to your appointment.


Please note:  our email is not encrypted and we do not recommend that you send your new patient paperwork back this way.  If you choose to do so please understand that you are sending personal health information in an unsecured format.


Adult New Patient Paperwork (pdf)

Download

FILL FORM - Adult New Patient Paperwork (docx)

Download

Pediatric NP paperwork (pdf)

Download

NOTICE OF PRIVACY PRACTICES (doc)

Download

Medical Record Release (pdf)

Download

Sports Physical Form (pdf)

Download

Disability Parking Application (pdf)

Download

DOT Forms

Dr. Waters (pdf)

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Dr. Dunn (pdf)

Download

End of Life Forms

PACKET -End of life forms with FAQ (pdf)

Download

LIVING WILL (docx)

Download

DURABLE POWER OF ATTORNEY FOR HEALTH CARE (docx)

Download