Dr. Diana Crumrine, NMD
1416 W Washington St
Boise, Idaho 83702
Foothills Family Medicine

Patient forms

Please take the time to print and fill out the following forms required for your visit, at home, before coming to the clinic for your appointment. Without these forms we may have to reschedule your visit. Please bring past lab work, imaging, current medications and supplements to your first appointment.

Thank you for taking your time to do this, we appreciate it.

Forms for Your First Appointment:
(Please print, read and fill out all required forms (One Intake Form and the next four listed)

Adult Intake Form or Pediatric Intake Form

Consent for Treatment
HIPAA/Email Consent
Payment Agreement
Non-insurance Coverage