Patient Medical History Form (English) – PDF Online Patient Medical History Form (Spanish) – PDF Online HIPAA Consent, Authorization for Release, Notice of Privacy Policy – PDF Online Read these forms using Adobe Reader. Get In Touch With Us Give us a call at (208) 734-8080 or get in touch with us by entering your information below. Name* Phone*Email* Message*Please use this form for general information purposes only. DO NOT send personal health information through this form. Specific patient care must be addressed during your appointment.CAPTCHAEmailThis field is for validation purposes and should be left unchanged.
