Medicaid Forms

Client Information Sheet:

Missed Appointment Form: 

Client Rights:

Grievance Form:


Health and Physical: (Please add doctors name to "from" section)

Facilty Fee:

Medicaid Requirements:

We thank you for taking the time to fill out our forms prior to your appointment. Please print forms to bring with you to your scheduled session as well as your insurance card. 

If you have any questions please call our office at 208-922-9001.