Patient Forms
To save time at your appointment, you can download, print, and complete these forms ahead of your visit. Bring them with you, or fax them to (406) 215-1743. If you prefer, we’ll have paper copies ready when you arrive.
Referring providers: fax patient orders to (406) 215-1743 and we’ll handle the rest.
Fax (406) 215-1743
3010 Santa Fe Ct ste 119, Missoula, MT 59808
Hours: Monday–Friday, 9am–5pm
Same-day appointments often available — call (406) 215-1434
We accept the following insurances:
Pacific Source
Blue Cross Blue Shield
First Choice Health Network / Aetna
Medicaid
Medicare
Allegiance / Cigna
Humana
Montana Health Coop
United Healthcare
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