Appointment Request:
Patients
|
Physicians
Send a Brochure
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Pre-Visit Forms
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Patient Survey
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Careers
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Locations
Please fill out the form as completely as possible and we will call you to arrange an appointment.
I am a new patient.
I am an existing patient.
Name:
Address:
City:
State:
Zip:
My physician is:
Select a Doctor:
First Available/No Preference
Steven B. Care, M.D.
Michael J. Curtin, M.D.
Nicole Femino, P.A.
Erik Heggland, M.D.
Alex Homaechevarria, M.D.
Janeen Jenkins, P.A.
Howard A. King, M.D.
W. Patrick Knibbe, M.D.
James E. Loveless, M.D.
Dennis R. McGee, M.D.
Lou Murdock, M.D.
Kurt Nilsson, M.D.
Colin E. Poole, M.D.
Steven E. Roser, MD
Kevin G. Shea, M.D.
Buzz Showalter, M.D.
Amy J. Waselchuk, P.A.-C.
I am a new patient
My availability is:
Monday
between the hours of
Tuesday
between the hours of
Wednesday
between the hours of
Thursday
between the hours of
Friday
the hours of
I prefer the
Select a Location:
Idaho Elks Rehabilitation Hospital (Boise)
St. Luke's (Meridian)
*New Patient
location.
Please call me:
Other #:
