Patient Forms

Forms:

 

After printing and filling out forms please do one of the following:

  1. Mail them to Dr. R. Pines, Attn:  Jacque at 5593 Glenwood St, Garden City, ID 83714
  2. Hand deliver them to the Dr’s office located at 5593 Glenwood St, Garden City, ID 83714
  3. Fax them to Jacque at 208-322-5379
  4. Email* them to Jacque at [email protected]
*If email is chosen, please be aware that emails are not guaranteed to be secure and/or HIPAA compliant.