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562 Shoup Ave West
P. O. Box 1808
Twin Falls, Idaho 83303

Phone:
Fax:

(208) 734-3455
(208) 733-7389

Office Hours: Monday - Thursday 8am to 5pm and Friday 8am to 3pm

Downloadable Forms for Our Patients

Here are a list of forms for you to print out at home and fill in at your convenience before your appointment. If you need any help with any of these forms, please don't hesitate to call!

Patient Personal Information
Patient Financial Information
Blue Cross Reimbursement Agreement
Assignment of Benefits
Acknowledgement of Policy
Health Database
Patient Identification and Contact Information (Dr. Wraalstad)

Note: To print these forms, you will need the Adobe Acrobat Reader. If you don't already have this free program on your computer, be sure you install it first, so that you can download and print these forms: