Pain Care Boise

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Miscellaneous Forms

New patients, please review the following forms prior to your appointment.
FORM
WORD
PDF

Medical Records Release

Download (MS Word) - Medical Records Release Download (PDF) - Medical Records Release

State of Idaho Advance Directives

  Download (PDF) - State of Idaho Advance Directives

Understanding Insurance

Download (MS Word) - Understanding Insurance Download (PDF) - Understanding Insurance

 

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Pain Care Boise
301 W. Myrtle St
Boise, ID 83702
Description: cid:image002.gif@01CC2067.C452E8F0
Phone: (208) 342-8200
Fax: (208) 342-8202

Providers:
William G. Binegar, MD
Fred Friel, PA-C

© 2004 Pain Care Boise