Forms

Please find the form you need below, complete, and return to Northwest Family Medicine. If you’re having trouble finding the correct form, call us at (208) 262-2213 and we’ll help you find the right one.

NW Family Medicine Post Falls New Patient Packet

New Patient Request Form

Notice of Physician Ownership

Notice of Physician Staffing and Emergency Procedures

Consent and Conditions of Treatment

Release of Information

HIPPA Release

Insurance

If you’re looking for comprehensive medical care throughout the stages of life, the Northwest Family Medicine team offers quality family medicine in Coeur d’Alene and Post Falls, Idaho. We care for you and your loved ones in an environment of mutual trust and tailor our services to meet your needs.

Click the links below to notify your insurance you want to enroll as a patient today. Don’t see yours? Call us at (208) 262-2213 and we’ll help you find the right one.

Idaho Medicaid Patients Click Here »
Regence Patients Click Here »
BCBS of Idaho Patients Click Here »
Kaiser Permanente Patients Click Here »