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 (adult)
- New Patient Packet, Dental (child)
- New Patient Packet, Dental (adult)
- New Patient Packet, Pediatrics
- New Patient Packet, Behavioral Health (adult)
- New Patient Packet, Behavioral Health (child)
- Release of Information
- Existing Patient Update Forms, Adult
- Existing Patient Update Forms, Pediatrics
New patients - sign up for the KHS Patient Portal to take advantage of such benefits as:
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
- 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