Patient Information

 NEW PATIENT FORMS – Please print all forms or e-mail back to us.
(Patient must update forms if they have not been seen at our clinic in the last three years.)

Patient Check in Forms

 

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Authorization for release of patient health information 

 Records Release Form

 

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PARTICIPATING NETWORKS

This is not an inclusive list and an insurance provider listed here does NOT guarantee participation,
please contact your insurance carrier directly to verify our participation status with your insurance.

Blue Cross of Idaho, Traditional ,PPO

Regence Blue Shield, Traditional, PPO

Idaho Physician’s Network,  BrightPath, United Health Care, Ameriben, PacificSource, Aetna, Great West, Cigna,
ODS, Idaho Medicaid, Triwest/Tricare, and Medicare Participating providers.

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Web Site Terms of Use – Snake River ENT, offers and maintains this website to provide information of a general nature about the practice and conditions requiring the services of an ear, nose, and throat specialist. The information is provided with the understanding that Snake River ENT, is not engaged in rendering medical or surgical advice or recommendations. Any information in the publications, messages, postings or articles on this website should not be considered a substitute for consultation with a, ear, nose, and throat specialist to address individual medical needs. Individual facts and circumstances will determine the treatment that is most appropriate.