Pain Care Boise

About Pain Medicine
Contact Us
FAQs
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Physician Profiles
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Patient Testimonials
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Media Coverage
 
 

Please email your completed forms to: info@paincareboise.com
For instructions on emailing your completed forms >> click here <<.

 

New Surgery Center Patient Forms:

All new surgery patients please fill out the following forms:
FORM
WORD
PDF

New Patient Health History

Download (MS Word) - New Patient Health History Form Download (PDF) - New Patient Health History Form

Financial Agreement

Download (MS Word) - Financial Agreement Form Download (PDF) - Financial Agreement Form

ALL Surgery Center Patient Information:

All surgery center patients please review the following forms:

FORM
WORD
PDF
Pre-Surgery Instructions Download (MS Word) - Pre-Surgery Instructions Download (PDF) - Pre-Surgery Instructions

Post Op Instructions

Download (MS Word) - Post Op Instructions Download (PDF) - Post Op Instructions

HIPPA Privacy Practice

Download (MS Word) - HIPPA Privacy Practice Download (PDF) - HIPPA Privacy Practice

Map and Driving Instructions to Pain Care Boise

 Download (MS Word) - Map and Driving Instructions to Pain Care Boise Download (MS Word) - Map and Driving Instructions to Pain Care Boise
Information about Pain Care Boise Download (MS Word) - Information about Pain Care Boise Download (PDF) - Information about Pain Care Boise

 

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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