Patient Information

In order to provide you with the best medical care, we need to know some things about you and your health history. We recognize that for many patients, the forms we use to gather this information may seem tedious and unnecessary. However, we try to look at the “big picture” as we learn about you and your problems and develop a treatment plan specifically for you. The information you provide is essential.

Please complete the forms BEFORE you arrive for your first appointment.  If the forms are not complete, we will have you complete them before you can be seen by the doctor. This could affect the time that we have devoted to understanding your medical problems.

Below is a list of information and forms we use for our new patients. Please read the “welcome letter” first.

Please print up and complete the below forms and bring them to your first appointment.  In addition, also bring:

• A current photo ID
• Your current insurance card
• Any previous medical records or imaging reports (if not previously sent to us by your other physicians)

NOTICE TO PATIENTS SEEKING OPIATES:

We are an office that specializes in the use of pain medications.  Here is some of what we do to prevent misuse, abuse, and diversion of medications:

• Video surveillance and video record of you checking in
• Copy photo ID (in some cases we may take an additional photograph)
• Regular urine drug screens (on average at minimum once every 3 months)
• Blood tests for drug levels
• Review of Board of Pharmacy records
• Review of Idaho State Supreme Court Repository (criminal records)
• Regular review of Sheriff Recent Arrest Records
• A thorough review of medical records and history
• Physical examination and diagnostic testing to confirm a diagnosis

You WILL NOT get opiates on the first office visit. 

We maintain open communication with law enforcement at all levels. If you are seeking medications for anything other than a legitimate medical purpose, do not come here.