Kaniksu Health Services
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  • About
    • Mission
    • What is a CHC?
    • What is a PCMH?
    • Quality Dashboard
    • Hours & Locations
  • Services & Providers
    • Why do I need a PCP?
    • Services
    • Behavioral Health
    • Family Practice
    • Dental
    • Pediatrics
  • Patient Resources
    • COVID-19
    • COVID-19 Vaccination
    • Telemedicine
    • Patient Forms
    • New Patients
    • Paying for my Visit
    • FAQ's
    • Patient Assistance Programs >
      • Insurance Enrollment
    • Patient Satisfaction Survey
    • Healthy Connections Survey
    • Patient Testimonials
    • Kaniksu Health Insider
    • KHS Diaper Bank >
      • Acknowledgements
      • Contact KHS Diaper Bank
      • Become a Sponsor
      • Donate
    • Reach out and Read
    • K-Pass
    • A Guide to Healthy Living >
      • Weight Control & Diabetes Management
      • Chronic Illness
      • Depression, Grief and other Behavioral Health
      • Substance Abuse
      • Child & Family Resources
      • Alternative Therapies
      • Self Management & Tracking Tools
  • Careers
    • Open Positions
    • Open Positions, Providers
  • News & Events
  • KHS Employees
  • KHS Employee Kudos
The following forms may be downloaded and printed for your convenience.  Forms may be mailed back to KHS at P.O. Box 2160, Sandpoint, ID, 83864.  Or you may drop them off at your nearest clinic. 
  • New Patient Packet
  • New Patient Packet, Dental (child)
  • New Patient Packet, Dental (adult)
  • New Patient Packet, Pediatrics
  • New Patient Packet, Behavioral Health 
  • Release of Information ​​
  • Existing Patient Update Forms, Adult
  • Existing Patient Update Forms, Pediatrics 
Patient Portal
New patients - sign up for the KHS Patient Portal to take advantage of such benefits as:
  • Securely message your provider
  • View lab results
  • Request prescription refills
  • and more
​
Always on the go?  Download the Patient Portal app to your smart phone and stay connected 24/7
For iPhones:  https://itunes.apple.com/us/app/nextgen-patient-portal/id1165589210?mt=8
For Android:  https://play.google.com/store/apps/details?id=com.nextmd.nextgenpp
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  • Home
    • Request an Appointment
  • About
    • Mission
    • What is a CHC?
    • What is a PCMH?
    • Quality Dashboard
    • Hours & Locations
  • Services & Providers
    • Why do I need a PCP?
    • Services
    • Behavioral Health
    • Family Practice
    • Dental
    • Pediatrics
  • Patient Resources
    • COVID-19
    • COVID-19 Vaccination
    • Telemedicine
    • Patient Forms
    • New Patients
    • Paying for my Visit
    • FAQ's
    • Patient Assistance Programs >
      • Insurance Enrollment
    • Patient Satisfaction Survey
    • Healthy Connections Survey
    • Patient Testimonials
    • Kaniksu Health Insider
    • KHS Diaper Bank >
      • Acknowledgements
      • Contact KHS Diaper Bank
      • Become a Sponsor
      • Donate
    • Reach out and Read
    • K-Pass
    • A Guide to Healthy Living >
      • Weight Control & Diabetes Management
      • Chronic Illness
      • Depression, Grief and other Behavioral Health
      • Substance Abuse
      • Child & Family Resources
      • Alternative Therapies
      • Self Management & Tracking Tools
  • Careers
    • Open Positions
    • Open Positions, Providers
  • News & Events
  • KHS Employees
  • KHS Employee Kudos