This form is to help you establish a new primary care physician. The form lists all Gritman physicians who are accepting new patients without a referral. If you want to see a specialist, please see our Services and Care Areas page.
Note: Before starting, gather your medical information and be sure that you have sufficient time to fill out this form in one session.
Note: In accordance with Gritman Medical Center policy, our clinics do not prescribe opioids and benzodiazepines concurrently due to safety concerns. Prescriptions for other controlled substances will be considered based on medical necessity and at the provider's discretion.
Questions or issues with the form? Please call our new patient coordinators at 208-882-8939.