Patient Forms

• Patient Consent Form
  By completing this form you give the clinic permission to provide service.
• Patient Information Form
  This form collects your healthcare coverage, and dependent information.
• Adult Health History Form
  The information on the health history becomes part of the medical record.

Patient Education

Web Resources

• IntermountainLiVe.org - Helping Teens be Healthy
  Learn what teens can do to reach and keep a healthy weight.
• Intermountain Healthcare Health Resources
  Information and resources on several common diseases and conditions from Intermountain Healthcare's Patient Education Department and other healthcare-related web sites endorsed by Intermountain.

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