Boundary Community Clinics Patient Forms
Completed forms can be emailed to [email protected] or Fax (208) 267-3757.
Authorization to Disclose Protected Health Information
Consent for Treatment
Health History Questionnaire
Medical Information Release Form
New Patient Information Packet
New Patient Information Packet – All Forms
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