Human Dynamics & Diagnostics
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Forms


Download and print forms so that you can fill them out before your office visit.

  • New Patient Forms (pdf)

  • Adult CDA Questionnaire (pdf)

  • Youth CDA Questionnaire (pdf)

  • ROI-Release of Information Form (pdf)

  • Designation of Personal Representative (pdf)

  • Telepsychiatry Consent Form (pdf)

Adi's Voice

Idaho Falls  P: 208-522-0140   F: 208-524-7335
Idaho Falls  DDA Fax: 208-522-0141
Salmon  P: 208-756-2344   F: 208-756-2354
Nampa  P: 208-461-3291  F: 208-461-3291