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(208) 356-0234 PATIENT PORTAL ONLINE BILLPAY

New Patient Forms

Below are our new patient forms in PDF format. If you do not have a PDF reader, at the bottom of this page is a link to download a free copy of Adobe Acrobat Reader. Once opened, you can fill out the new patient form in Adobe Acrobat Reader, print it out, and sign it. Or you may just print the form out and fill it out with a pen or pencil.

Select a form to download

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Adult & Family Care New Patient Form

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Family Medicine New Patient Form

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Women’s Center New Patient Form (GYN)

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Women’s Center New Patient Form (Prenatal)

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Pediatrics New Patient Form

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Medical Release Form

As a helpful reminder, don’t forget to bring your photo ID, insurance card, and medication list and/or immunization card.

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** You must have Adobe Acrobat Reader installed to view forms from Season’s Medical. Get Adobe Reader for free by clicking here. **

About Seasons Medical

We are one of Eastern Idaho's only Multi-Specialty Healthcare Groups offering the full range of Family and Internal Medicine, Obstetrics and Gynecology, Midwifery, and Pediatrics all under one roof. At Seasons Medical, our doctors are committed to providing you the best evidenced-based medicine possible.

Seasons Medical

37 South 2nd East
Rexburg ID, 83440

Phone & Fax

Phone: (208) 356-0234
Fax: (208) 656-8877

Get In Touch With Us

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Patient Portal

Manage your healthcare outside of the traditional office visit. Request appointments, renew prescriptions, pay medical bills, and more all online.

In Partnership With Madison Memorial Hospital

Madison Memorial Hospital
In an effort to continue providing integrated quality healthcare, we’ve partnered with our local hospital. Madison Memorial Hospital is a regional, nationally recognized, non-profit, community-owned hospital in Southeast Idaho.

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