Forms & Policies

Before your appointment with us, quickly and conveniently access patient forms from our practice.

Patient Registration

To view the forms listed below, you will need the latest version of Adobe Reader.  

You may download Adobe Reader for free at www.adobe.com. Please bring your completed forms with you to our office at the time of your visit.

Developmental Health Screening Forms

Behavioral Health Forms

For your convenience we are contracted with the following Insurance Companies

* (please contact your insurance company for in-network details)

• Blue Cross of Idaho
• Regence Blue Shield of Idaho
• Carriers through IPN-Aetna, Great West, ODS, AIG, Assurant, Coresource, EBMS, Everest, First Administrators, Humana, Meritain Health, Nesika, MS Administrators, Mountain States Admin, P5 Health Plan, Riverside Benefit, Smith Administrators, Starmark, TPM Trust, UMR, Cigna, United, Ameriben, Pacific Source, etc.
• Bright Path-Through Select Network
• Micron Health-DAS (Dakota Care)
• Tricare
• First Choice Network