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Idaho Falls Pediatrics Forms

What’s Included in the New Patient Packet?

The New Patient Packet encompasses all the necessary forms and information required for new patients or those updating their details. It covers:

  • Patient and Guardian Information — Personal details, contact information, and demographic data.
  • Insurance Details — Information about primary and secondary insurance providers.
  • Emergency Contacts — Names and phone numbers of individuals to contact in case of emergencies.
  • Authorized Individuals — List of persons permitted to bring your child for appointments.
  • Medical Record Release — Consent forms for transferring medical records.
  • Social Determinants of Health — Questions to better understand factors affecting your family's health and well-being

Completing this packet in advance helps reduce wait times and ensures that the healthcare team has all the necessary information to provide optimal care. 

Form Access

We offer the New Patient Packet in both English and Spanish to accommodate diverse patient needs. You can choose to:

  • Fill Out Online — Complete the forms through their secure online portal.
  • Download and Print — Access printable versions to fill out by hand and bring to your appointment.

Additionally, we provide other essential forms, including:

  1. Medical Record Release Forms — For transferring records to or from our management system.
  2. ADHD Forms — Specific questionnaires for parents and teachers to assist in the evaluation process.

These resources are available on our Forms page.

When Should You Update Your Forms?

It's important to complete the New Patient Packet if:

  • You are visiting Idaho Falls Pediatrics for the first time.
  • There have been changes in your address, phone number, employment, marital status, insurance provider, or number of children.

Keeping your information current ensures effective communication and billing processes.

Contact Information

For any questions or assistance with the forms, you can reach us at:

  • Phone: (208) 522-4600
  • Fax: (208) 552-7521

Eagle Drive Office

3067 Eagle Drive 

Ammon, ID 83406

Pancheri Office

1645 Pancheri Drive

Idaho Falls, ID 83404

By preparing your forms ahead of time, you contribute to a more efficient and stress-free visit, allowing the healthcare providers to focus on delivering the best care for your child.

Complete Your Idaho Falls Pediatrics Forms to Streamline Your Visit

Make your appointment smooth and stress-free by filling out your new patient forms ahead of time. 

Access, download, or complete all necessary paperwork quickly and easily on our Idaho Falls Pediatrics forms page available in both English and Spanish. It's quick, helps save time, and allows us to provide the best care for your child from the moment you arrive.