These forms are for the employees of all fire departments.
Patient Forms
- 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.