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Welcome To Palouse Medical!

Welcome to Palouse Medical and thank you for choosing our team to serve your health care needs.  It is our goal to provide you and your family the best medical care possible and to maintain a pleasant and long-lasting health partnership with each of you. As a new patient, you probably have a few questions about what to expect and how to prepare for your first appointment. We hope that this page will help!

If you have any questions, please do no hesitate to contact us.

509.332.2517

The New Patient Checklist

When you make your appointment, you will be instructed to bring:

  1. PHOTO IDENTIFICATION:

    State or Federal Issued, Passports, or Student ID.

     

     

  2. HEALTH INSURANCE CARD:

    If you are insured, we must have you bring your insurance card (or at least a photocopy of the front and back) to your first appointment. If you are not insured or have other questions, please click on the billing and financial policies link to learn more.

     

     

  3. PROOF OF RESIDENCY:

    Any mail, bill, or contract that includes your name and address to verify you are a resident of Whitman or Latah County.

     

     

  4.  NEW PATIENT INTAKE DOCUMENTS: Completed!

    Please read, complete and bring the forms below to your first appointment.
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New Patient Intake Documents:

We understand that your time is valuable. In order to expedite the registration process, this paperwork can be completed prior to your appointment.

Simply open the .PDF documents below, print them off, and bring them to your visit.

download paperwork

Privacy Notice

Read this document prior to completing the Patient Profile and your first appointment.

download paperwork

Patient Profile

Provides contact information and acknowledgement to office policies.

download paperwork

Patient Health History

This form should be completed by all new patients and those (age 16+)  returning for their yearly physical exam.

download paperwork

Records Release Form

Please complete if you want your records transferred.