Boundary Community Clinics Patient Forms

Completed forms can be emailed to or Fax (208) 267-3757.

Consent for Treatment

Health History Questionnaire

New Patient Information Packet

No Show Policy

Patient Information Sheet

Portal Access Consent

Prescription Policy

Request for Medical Records

Need to schedule an appointment?
Call (208) 267-3655
Fax (208) 267-3757
Lucero Medical Services Building
6641 Kaniksu Street, Bonners Ferry, ID 83805