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Saint Alphonsus Medical Group
New Patient Forms
Make Your Registration More Efficient
In our effort to be considerate of your time, we are making our New Patient
Forms available to you to complete before your visit. You now may print,
fill out, and bring these forms to your first visit making your initial registration
in our system more efficient.
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To download and print a form, use the links at right to download the form you need. You will need both a Patient Registration and a Medical History Form. |
Our Patient Registration Form asks for your personal demographics and insurance information. This information allows us to submit bills to your insurance company. You will still need to bring your insurance card to your appointments.
The Medical History form provides health information to our clinicians. This information will be used to help our providers understand your health needs and medical challenges.
We hope you will find the availability of these forms helpful in building a relationship with the Saint Alphonsus Medical Group.
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Call us at 208-367-SAMG to schedule a same day appointment or to find a physician with the personal qualities you may be looking for. |
