New patients

New Patient Form

Complete your paperwork before you arrive so your first visit can focus on you, not the clipboard.

How It Works

1
Download the patient registration and medical history form below.
2
Fill it out completely — page 1 registration, page 2 medical history, page 3 privacy and consent signatures.
3
Bring the completed form, your ID, and your insurance card to your first visit.
4
Short on time? Arrive 15 minutes early and complete it in our office instead.

We do not use online booking. To schedule, call (208) 452-7582 or text (208) 740-1797 and our team will find a time that fits.

3 pages · print single-sided and sign pages 3.

Give our Fruitland office a call and we will get you scheduled.