Patient Forms
The following forms and corresponding instructions have been provided for your convenience. Please note that these forms may not be the appropriate forms for all patients in all circumstances.
Patient Forms
New patients can save time during their first appointment by completing the Patient Registration form prior to their visit. Simply print out the Patient Registration form, fill in the information requested, and bring the completed form with you to your appointment.
Debe usted completar el registro del paciente antes de su primer cita. Necesita usted impremir el registro del paciente, completarlo, y traerlo a su cita.
To have medical records released, please print he Authorization to Release Medical Information form, complete the form, and fax/mail to any Primary Health Medical Group location. You can also mail the form to PO Box 191050, Boise, ID 83719, ATTN: Medical Records. Questions regarding the release of medical information can be addressed to Medical Records Coordinator, at (208) 955-6498 or records@primaryhealth.com.
Is your appointment for a Medicare Annual Wellness visit? Please complete the following document and bring it with you at your scheduled appointment time.
Confused about what immunizations your health plan covers? This helpful checklist will guide you through the conversation with your health plan before your next visit if it may include immunizations.