Boise Physical Medicine & Rehabilitation Clinic

 

Phone:  (208) 377-3435  |  Fax:  (208) 377-3147

1000 North Curtis Road, Suite 202,  Boise, ID 83706  |  Map / Directions

 
New patient registration forms
Patient release of medical records form
Patient history form for IME/Independent Medical Evaluation
Patient history form for EMG diagnostic testing
HIPAA Notice of Privacy Practices
PATIENT FORMS

 

Please print out and complete the following forms prior to your first appointment.  These questions are a necessary part of our evaluation and files.  Thank you.
 

Boise Physical Medicine & Rehabilitation Clinic

Phone:  (208) 377-3435  |  Fax:  (208) 377-3147  |  1000 North Curtis Road, Suite 202,  Boise, ID 83706  |  Map / Directions