Patient forms
and education.
We know your time is valuable. Fill out your forms at home, at your convenience, so your appointment is as quick and easy as possible.
New patient? Start here
New patient packet
Every new patient form in one file: registration, financial policy and more. Print it, fill it out, bring it in.
Patient forms
Every form,
in one place.
Tap a form to open it, then print it. Can't print at home? We'll have copies at the front desk.
- Patient profileYour registration form: contact details, insurance and who we may speak with.PDF · 1 pageDownload
- Medical history formYour health history, medications and past procedures.PDF · 2 pagesDownload
- Financial policyCopays, insurance, self-pay and cancellations.PDF · 1 pageDownload
- Records releaseLets us send or receive your medical records.PDF · 1 pageDownload
- Notice of privacy practices (HIPAA)How we protect and use your health information.PDF · 7 pagesDownload
- Patient rights and responsibilitiesWhat you can expect from us, and what we ask of you.PDF · 2 pagesDownload
- No Surprises Act billing rightsYour rights and protections against surprise medical bills.PDF · 2 pagesDownload
Vasectomy
Vasectomy
forms.
Patient education
Guides to
take home.
- Vasectomy brochureWhat to expect, answers to common questions, and before and after care.PDF · 2 pagesDownload
- No-scalpel vasectomy brochureHow the no-scalpel method works.PDF · 2 pagesDownload
- Prostate cancer care guideThe Advanced Prostate Cancer Clinic, chronic care, our in-office pharmacy, and calcium and vitamin D.PDF · 4 pagesDownload
- Interstitial cystitis (IC) food guideWhich foods and drinks may irritate the bladder, and which are usually fine.PDF · 16 pagesDownload
What to bring
Your appointment
checklist.
- Your insurance card and a photo ID (you won't be seen without photo identification)
- Your copay, if your insurance requires one
- Any physician referral forms your insurance needs
- A list of your medications: prescription and over-the-counter, how much and how often
- Any recent imaging (x-rays, CT, ultrasound, bone scans) on film or disc
- Any recent lab, blood or urine test results
- Your completed patient forms
Request an appointment
We're here
when you're ready.
Send a request and our scheduling team will call you to find a time that works. Prefer the phone? Call the office closest to you.
- Coeur d'Alene(208) 667-0621Open every weekday, 8 am to 5 pm
- Post Falls(208) 618-3601Days and hours vary
- Sandpoint(208) 263-2335Days and hours vary
- Quick question?Answers any time, day or night.