Click the appropriate link to access the editable form.
- Health History
- Notice of Privacy Practices, Acknowledgement of Receipt
- Patient Registration Form
- Release of Health Information
Instructions:
- Click on each file to open
- Save the editable PDF in the bottom right corner
- Fill out the information on each form & save or print and mail, bring to your appointment or fax to our office at (406) 238-6171
- Email Us the files as attachments
- To keep your health information as safe as possible, please do not email the Health History form. It should only be faxed, mailed, or hand carried.
