These forms are for the employees of all fire departments.
Patient Forms
Select the tab of the organization you work for to view, download and print forms that are applicable to you.
- Fire
- Police
- Idaho State Police (ISP)
- Emergency Medical Services (EMS)
- Mental Health
- Acupuncture
- General Forms
- Patient Policies
These forms are for the employees of all police departments excluding ISP.
- Pre-Exam Letter (Everything You Need To Know)
- Patient Reference Guide
- Patient Information Form
- POST Health Questionnaire (Peace Officer’s Standards and Training)
- Patient History Form – New Patients
- Patient History Form – Establish Patient’s
- Workers Compensation Injury History Form
- Consent and Conditions of Treatment
- HIPAA – Notice of Privacy Practices
These Forms are for ISP Only.
- Cover Letter
- Patient Reference Guide
- Pre-Exam Letter (Established ISP Members)
- Pre-Exam Letter (New Candidates)
- Annual Wellness Exam Summary
- Respiratory Medical Evaluation Questionnaire (OSHA – 29 CFR 1910.134)
- Patient Information Form
- POST Health Questionnaire (Peace Officer’s Standards and Training)
- Patient History Form – New Patients
- Patient History Form – Establish Patients
- Workers Compensation Injury History Form
- Consent and Conditions of Treatment
- HIPAA – Notice of Privacy Practices
These forms are for the employees of all EMS organizations.
These forms are for mental health appointments.
These forms are for the general public.