Patient Forms

Patient Forms

New Patient Form
Adult Medical History
Child Medical History
Authorization to Discuss Medical Care

Patient Information

Click on the link below to review Kalispell Regional Healthcare's notice of privacy practices, patient consent and financial agreement, advance directives, patient rights and responsibilities, organizational code of ethics, messages from Medicare and Tricare, and truth in lending.
Patient Rights and Policies

Injury-Specific Forms

Ankle Injury
Ankle Pain
Arm Pain
Carpal Tunnel Syndrome
Clavicle Fracture
Dupuytren's Contracture
Elbow Injury
Elbow Pain
Finger Fracture
Foot Injury
Foot Pain
Hammer Toe
Hand Injury
Hand Pain
Hip Injury
Hip Pain
Knee Injury
Knee Pain
Leg Pain
Shoulder Impingement
Shoulder Injury
Shoulder Pain
Thumb Fracture
Trigger Finger
Wrist Fracture
Wrist Ganglion
Wrist Injury
Wrist Pain