Patient Center - Kalispell, MT

Please complete this form if you are a returning patient but it has been over a year since your last visit. The information you provide here will make us aware of any changes in your medical history or current treatments.

Health History Form

By signing this document, you acknowledge that you have been offered our Notice of Privacy Practices (below), in compliance with your rights under the Health Insurance Portability and Accountability Act (HIPAA) of 1996.

HIPAA Form

We provide our Notice of Privacy Practices here so that you may have a chance to read them and become familiar with them in advance. Please call us if you have any questions or concerns about these policies, or let us know during your visit how we can help clarify for you.

Notice of Privacy Practices

Please review our full Financial Policies for details on how we work with insurance as well as how we handle patient billing. If you have any questions, please call us or ask us in person at your next visit. We require all patients to sign this form.

Financial Policies Form