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This paperwork can be sent to you before your appointment via mail or fax by downloading the forms by clicking on the links below.

Please allow 3-4 days to receive our forms through the mail, and 24 hours to receive faxes from our office. Even if you have filled out all the SMI paperwork prior to arrival, you still need to arrive 30 minutes before your appointment. This will ensure adequate time to complete your chart and make copies of your driver’s license and insurance card, and obtain your vital signs prior to your scheduled appointment time.

If you believe that you will take longer to fill out paperwork due to medical conditions (arthritis, memory or complete medical history for example), please arrive at least one hour before your appointment. Please bring lists of your previous surgeries, medical conditions, and medications (with name, strength, dose and who prescribed it) to help you fill out the forms.

Please note: All of your paperwork needs to be completed (whether mailed, faxed, downloaded or filled out in the office) before your appointment time. If your paperwork is not complete, we may require that you reschedule your appointment. We thank you for your cooperation in helping us to remain on schedule for you and for our other patients.

• A picture ID
• Applicable insurance information
  • Health insurance card
  • Worker’s compensation claim, adjuster's name and number or automobile policy. Complete contact information is required in order to bill them.
• Payment—Office visit co-payment is expected at time of service. Please plan ahead and bring your preferred method of payment with you at the time of service (check, debit or credit card).
• If you have been treated by non-Idaho physicians (surgeons, pain management, primary care providers) for your current spine or pain problem, please bring the provider's name, address and phone number to your appointment. This will help us fill out the medical release so we can request medical records.
  

• Health History Form
  
• Patient Agreement for Opioid and Controlled Substances
  
• Methadone Patient Agreement
  
• Consent to Pain Management Procedures
  
• Owestry Low Back Pain Index Questionnaire
  
• Advance Directives
  

1. A picture ID.
2. Any new insurance information, such as a new insurance card.
3. Any SMI paperwork provided at your last appointment (i.e.—injection diagnostic sheets).
4. Please notify the office staff of any changes in your name, address, insurance or phone numbers.

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