606 N. 3rd Ave, Ste 101 Sandpoint, ID 83864

Ph: 208-263-1435 Fax: 208-263-4580

Ph: 208-263-1435 Fax: 208-263-4580

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    • Home
    • Our Providers
    • Schedule Online!
    • Patient Forms
    • Educational Handouts
    • About us
      • Services
      • Womens Health Sandpoint
      • Appt Info
      • Quick Sick Policy
      • Ins, Fees & Payment
      • Group Visits
      • PCMH
    • Privacy Practices
    • Wellness info for Kids
    • Employment
    • Feedback
    • New patient
  • Home
  • Our Providers
  • Schedule Online!
  • Patient Forms
  • Educational Handouts
  • About us
    • Services
    • Womens Health Sandpoint
    • Appt Info
    • Quick Sick Policy
    • Ins, Fees & Payment
    • Group Visits
    • PCMH
  • Privacy Practices
  • Wellness info for Kids
  • Employment
  • Feedback
  • New patient

Patient Forms

Adult New Patient Paperwork (pdf)

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Pediatric New Patient Paperwork (pdf)

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Newborn New Patient Paperwork (pdf)

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Medical Release Form - From FHC (pdf)

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Medical Release Form - To FHC (pdf)

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Release Records- Person (pdf)

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IDAHO FOREST GROUP paperwork (pdf)

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DOT form for Dr. Dunn (pdf)

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Docket Flyer (jpg)

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minor Consent forms

Parental Consent allowing other adults to bring minor to appointments (docx)Download
Parental Consent for Minor to attend appointment without parent or guardian (docx)Download
Consent for treatment of unemancipated minor 6.28.24 (docx)Download

Other

NOTICE OF PRIVACY PRACTICES (doc)

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FINANCIAL AGREEMENT (docx)

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