Patient Forms

If you are unable to print this 8-page Intake Form, please arrive 30 minutes prior to your appointment or call the office a week in advance to arrange for the form to be mailed to you.  

New Patient Form

• • Adult New Patient Intake Form

    For adults 18 years or older and girls who have started having menstrual cycles.

    Adult Intake Form

• Pediatric New Patient Intake Form

  For children under 18 and girls who have not started their menstrual cycles.

  Open Pediatric Intake Form

• Fees and Policies

  For all new patients to sign and bring in.

  Fees and Policies

• Telemedicine Electronic Communication Policies

  Regarding phone/email/Skype appointments.

  Telemedicine Policies

Other Forms

The forms below may not be needed by every patient. Only print if you are requested to do so.

• Metabolic Detoxification Questionnaire

  Metabolic Detoxification Questionnaire

• Release of Records

  Use this form to request medical providers to send your records to Boise Natural Health Clinic. Please do not ask for your whole chart to be sent to us. Usually, we only want Lab/Test Results to start with. Another request can be made later if more is needed.

• Boise Natural Health Privacy Practices

Please review the following document. You do not need to print unless you’d like a copy for yourself.