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Patient Documents

A family walking discussing their diabetes care from Rocky Mountain Diabetes center in Idaho Falls and Pocatello. The following documents and forms may be of interest to you.  They may also be required for a visit based on the instructions you received from a physician or staff.

Adult Patients

New Patient Registration FormButton Graphic – Registration for diabetes doctor in Idaho Falls and Pocatello

Notice: Medicare Shared Savings Program Accountable Care OrganizationsButton Graphic – Registration for diabetes doctor in Idaho Falls and Pocatello

New Patient Medical History — Patient with DiabetesButton Graphic – Registration for diabetes doctor in Idaho Falls and Pocatello

New Patient Medical HistoryButton Graphic – Registration for diabetes doctor in Idaho Falls and Pocatello

Notice of Privacy PracticesButton Graphic – Registration for diabetes doctor in Idaho Falls and Pocatello

Notice of NondiscriminationButton Graphic – Registration for diabetes doctor in Idaho Falls and Pocatello

Pediatric Patients

New Pediatric PatientButton Graphic – Registration for diabetes doctor in Idaho Falls and Pocatello

Pediatric Patient UpdateButton Graphic – Registration for diabetes doctor in Idaho Falls and Pocatello

Pediatric Patient Update (Diabetic)Button Graphic – Registration for diabetes doctor in Idaho Falls and Pocatello

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