SAME OR NEXT DAY APPOINTMENTS AVAILABLE FOR URGENT/IMMEDIATE NEEDS: Call 208-267-8710

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    • Home
    • Welcome
    • Meet Our Providers
    • Treatment & Services
    • FAQ
    • Patient Forms
  • Home
  • Welcome
  • Meet Our Providers
  • Treatment & Services
  • FAQ
  • Patient Forms

Patient Forms

Please bring completed forms into the office. 

If you have an electronic copy of your insurance card please send an email to riverstonebilling@gmail.com prior to your appointment. Please include the following:

  • Subject: BFFM Patient (name)
  • Body of email:
    • Patient of BFFM
    • Names & Date of Birth for ALL PATIENTS covered under this policy
    • Attach front & back of Insurance card(s)
    • Attach a copy of ID (drivers license) of primary policy holder and any adult patients. 
    • Effective date of coverage (if known)

Adult Patient Paperwork (pdf)

Download

Child Patient Paperwork (pdf)

Download

Medical Records Request (pdf)

Download

Behavior Health Paperwork (pdf)

Download

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    • Home
    • Welcome
    • Meet Our Providers
    • Treatment & Services
    • FAQ
    • Patient Forms

    Insurance Cards

      

    Please send an electronic copy or photo with both sides of your insurance card via email to riverstonebilling@gmail.com prior to your appointment. 

    • Please include the following:
    • Subject: BFFM Patient (name)
    • Body of email:
    • Patient of BFFM
    • Names & Date of Birth for ALL PATIENTS covered under this policy
    • Attach front & back of Insurance card(s)
    • Attach a copy of ID (drivers license) of primary policy holder and any adult patients. 
    • Effective date of coverage (if known)
    • For any Insurance specific questions please call Riverstone Billing at 208-267-2070 

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