Appointments

For New Patients

For your convenience, you may download, print, and complete our required patient forms below. All forms should be completed prior to your appointment.

Patient Forms

Release of Medical Records
Release of Behavioral Health Medical Records
Release of Exchange of Information - School or Behavioral Situations
Notice of Practice Policies
Notice of Privacy Practices
Correction Amendment Form

DOT Physical Forms

For a DOT physical at Valley Medical Center, download and complete the two required forms below.

Federal DOT Medical Form
DOT Medical Exam Requirements

Occupational Medical Forms

OSHA Respirator Form

Obstetrics & Gynecology

Do's and Dont's During Pregnancy
GYNECARE Instructions
Morning Sickness
Preterm Labor Handout

Pediatrics

Behavioral Intake
Counseling List
Fever - Facts vs Myths
Instructions Prior to Circumcision
Sleep Hygiene
Tylenol-Ibuprofen Dosage Chart
Vaccines
Vaccines on the Go
Vaccine Policy Statement
Vanderbilt Assessment Scale (Parent)
Vanderbilt Assessment Scale (Teacher)

Idaho Health Data Exchange

IHDE FAQs
IHDE FAQs Spanish
IHDE Request to Restrict Form
IHDE Request to Restrict Form Spanish

Resources

Applying for Idaho Medicaid
Applying for Washington Medicaid
Good Faith Estimate

Please note the following will be needed as you prepare for your scheduled appointment:

• Copayments (if required by your insurance)
• Insurance card(s)
• Photo ID
• Referrals (if required by your insurance)

For MRI scans, loose-fitting clothing (no metals) is required.