FORMS

Patient Forms and Resources

There are a number of forms you might need to submit for your child – for school, sports, camps, and for administration of medication. We also have forms that we ask parents to fill out, such as our family registration form, which is used to keep contact and insurance information current. To make this process as simple as possible we have made many forms available for downloading. Please feel free to use them as needed. Also, please note that we cannot offer completed health forms online.

At the time of your child’s yearly physical exam you will receive a standard State of Idaho school form. Please keep the original for school and make copies to attach to any additional forms you might need, such as for camp.

General and New Patient Forms

New patients can save time during their first appointment by completing the Patient Registration and the Adult Health History (if patient is adult) form prior to their visit. Simply print out the Patient Registration and the Adult Health History forms, fill in the information requested, and bring the completed forms with you to your appointment.

Download all new patient forms in one package (single document)

Adult Forms

Well Baby/Child Packets

Patients stay healthier when they stay informed, these resources can help you be better informed and empower you with the skills and knowledge you need to actively participate in your care.

Insurance and Billing

Please call or Email us for information specific to your insurance company and plan.

Payment Options
We accept cash or credit cards. We also offer a flexible payment plan. Please see our Financial Coordinator for details.

Insurance Benefits
As a courtesy to our patients we have enrolled in many managed care programs. By doing this, we agree to file your insurance claims and accept the contracted rates from your insurance company. However, we do not take responsibility for items not covered in your individual plan. Therefore, we recommend that you always question your insurance company regarding your benefits and do not assume that everything done in the physician’s office is covered by your insurance. You can request specific benefit information from your insurance company before attending your appointment.

Prior to any office visit, please be sure that you have contacted your insurance company to add your new baby or child to the insurance policy. If you have an HMO plan, it will also be necessary to designate our doctors as the PCP prior to the appointment. If any claim is denied, you will be responsible for the payment.

It is important that you understand what coverage is available for your child. Ask your insurance company for specific information regarding well child, immunization and sick child visits, as well as co-payment and deductible costs.

Please bring your insurance card to every office visit. We will ask for a copy of this card when you check in for your child’s appointment.

Current Patient Portal

Secure Patient Account Access (external website) provided by

Advanced MD

CURRENT PATIENT LOGIN

How do I sign up? Signing up and creating an Advanced MD account is totally free. Please ask your doctor for access to your health records.

Useful Links

Here are some additional links to supplement those you can find elsewhere on our website. Many of these pertain to different aspects of child safety.

Expecting or New to the Area?

Learn how we support new mothers. Request a prenatal consultation.