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Family Health Center

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HOME
SERVICES
PROVIDERS
PATIENT FORMS
- PRIVACY PRACTICES
ABOUT
CONTACT US
MORE

PATIENT FORMSsandpoint2025-04-22T11:31:59-07:00

PATIENT FORMS

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Adult New Patient Paperwork (pdf)

Medicare Adult New Patient Paperwork (pdf)

Pediatric New Patient Paperwork (pdf)

Newborn New Patient Paperwork (pdf)

Medical Release Form - From FHC (pdf)

Medical Release Form - To FHC (pdf)

Release Records- Person (pdf)

IDAHO FOREST GROUP paperwork (pdf)

DOT form for Dr Dunn (pdf)

DOT form for PA Wahlquist (pdf)

Docket Flyer (jpg)

MINOR CONSENT FORMS

Parental Consent allowing other adults to bring minor to appointments (docx)

Parental Consent for Minor to attend appointment without parent or guardian (docx)

Consent for treatment of unemancipated minor 6.28.24

OTHER FORMS

NOTICE OF PRIVACY PRACTICES (doc)

FINANCIAL AGREEMENT (docx)

Family Health Center

After Hours Availability

Our providers are available 24-7 for questions.

To reach the on-call provider for medical questions please call 208-263-1435 and press 0. You will be transferred to the answering service. They will collect basic information, then page the on call doctor for you.

If you have a life threatening emergency please call 9-1-1.

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Jenn Wahlquist, PA-C

Jenn is a native to North Idaho, born and raised in Coeur d’Alene. She has bachelor’s degrees in biology, chemistry, and medical laboratory sciences. She completed physician assistant training through the University of Washington School of Medicine. She has a passion for family medicine & women’s health. She emphasizes a patient-centered approach to health care. She is an advocate for outdoor wellness, with interests in mountain biking and snowboarding, reflecting a commitment to promoting a balanced and active lifestyle.

Emilie Kuster, NP

Emilie Kuster was born and raised in Sandpoint, Idaho. She worked as a nurse in Seattle before completing her doctorate in nursing practice at the University of Washington. She worked in family medicine on the Olympic Peninsula before returning to Sandpoint. Emilie enjoys women’s/adolescent health and helping guide lifestyle changes to maintain or regain wellness. She enjoys skiing, trail running, and playing in the lake.

William Thurston, MD

Dr. Thurston grew up in St. Maries, Idaho. He graduated from the University of Idaho with a degree in anthropology before receiving his medical training through the University of Washington WWAMI program. He completed his family medicine training at the Kootenai Clinic Coeur d’Alene Family Medicine Residency. He enjoys taking care of people at all stages of life and helping people work towards a healthy lifestyle. In his free time, he enjoys running, biking, soccer, and skiing.

Hannah Raynor, MD

Dr. Raynor graduated from the University of Wisconsin School of Medicine and Public Health in Madison, WI. She continued her training in Family Medicine at the Kootenai Clinic Coeur d’Alene Family Medicine Residency Program, graduating in 2018. Special interests within family medicine include women’s health, pediatrics, and preventative medicine. In her free time Dr. Raynor enjoys skiing, mountain biking and Crossfit.

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Dan Meulenberg, MD

He completed his medical training at the University of North Carolina at Chapel Hill. After residency in Boise, he did an additional year of training with an emphasis on pediatrics. He is active in training medical students and residents, and also helps provide mental health care in the community.

Zach Halversen, MD

Dr. Halversen is a Board-Certified Family Physician who graduated from St. George’s Medical School. During his residency he found that he really enjoys women’s health and working with adolescents. In his free time he enjoys biking, hiking, water skiing, and spending time with his family.

Scott Dunn, MD

Originally from Colorado, he attended school at the Oregon Health Sciences University and then completed residency in Spokane. He enjoys pediatrics, sports medicine, and diabetic care. He serves as medical adviser and volunteers at the Bonner Partners in Care Clinic for the area’s uninsured. In his free time he enjoys competing in triathlons, skiing and travel.